| Sreenivas P Vangara Md Pa | |
|
5515 Gulf Drive Suite B New Port Richey FL 34652 | |
| (727) 848-3995 | |
| (727) 843-9400 |
| Full Name | Sreenivas P Vangara Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5515 Gulf Drive, New Port Richey, Florida |
| Authorized Official Name and Position | Sreenivas P Vangara (PRESIDENT) |
| Authorized Official Contact | 7278483995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sreenivas P Vangara Md Pa 5515 Gulf Drive Suite B New Port Richey FL 34652 Ph: (727) 848-3995 | Sreenivas P Vangara Md Pa 5515 Gulf Drive Suite B New Port Richey FL 34652 Ph: (727) 848-3995 |
| NPI Number | 1639351422 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/20/2013 |
| Medicare PECOS PAC ID | 6709948441 |
|---|---|
| Medicare Enrollment ID | O20081215000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639351422 | NPI | - | NPPES |
| 253520300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0073512 (Florida) | Primary |
| Provider Name | Sreenivas P Vangara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497755771 PECOS PAC ID: 3173548351 Enrollment ID: I20081215000449 |
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