Individual provider · Type 1 NPI
Syam Prasad Vunnamadala, MD
Specialist · Anaheim, CA
NPI number
1508978909
Active
Practice location
1211 W La Palma Ave Ste 310
Anaheim, CA 92801-2811
Fax (714) 491-3960
Mailing address
10 Via Giada
Newport Coast, CA 92657-1623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 00A641890 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1508978909
Syam Prasad Vunnamadala, MD's National Provider Identifier is 1508978909, issued on Aug 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Anaheim, CA. The record was last updated on May 26, 2017.