Individual provider · Type 1 NPI

Gautam Vangipuram, MD

Retina Specialist (Ophthalmology) Physician · Pasadena, CA

NPI number 1780052233 Active

Practice location

2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747

Fax (626) 793-6256

Mailing address

1900 W Garvey Ave S Unit 335
West Covina, CA 91790-2656

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X2019018140 (MO)
Retina Specialist (Ophthalmology) Physician 207WX0107X2019018140 (MO)
Retina Specialist (Ophthalmology) Physician Primary 207WX0107XC173301 (CA)

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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About NPI 1780052233

Gautam Vangipuram, MD's National Provider Identifier is 1780052233, issued on Sep 14, 2015. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Pasadena, CA. The record was last updated on Jan 10, 2022.