Vijaya Venkata Tangella in Raleigh - Intellectual And Developmental Disabilities

Vijaya Venkata Tangella - NPI 1174691232

Vijaya Venkata Tangella is a Intellectual And Developmental Disabilities in Raleigh, North Carolina. Vijaya Venkata Tangella practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Vijaya Venkata Tangella is 1174691232. The last update date is 2007-07-09.

Vijaya Venkata Tangella's current location address is 739 Chappell Dr, Raleigh, North Carolina. You can contact this provider via phone number 9198323909 and fax number 9198323035. The mailing address for Vijaya Venkata Tangella is 739 Chappell Dr, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Vijaya Venkata Tangella
Address 739 Chappell Dr, Raleigh, North Carolina
Phone Number 9198323909
Fax Number 9198323035
Sole Proprietor N
Credentials MA

NPI Number Detail

NPI Number 1174691232
Provider Enumeration Date 2006-11-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 739 Chappell Dr
City Raleigh
State North Carolina (NC)
Post Code 276063215
Phone Number 9198323909
Fax Number 9198323035

Provider's Primary Taxonomy Detail

Speciality Intellectual And Developmental Disabilities
Taxonomy 103Tm1800X
Licence No 1439
Definition:
A psychologist who works with people who have cognitive impairments and developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14195 NC BCBS OF NC
6107363 NC --

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FAQs about Vijaya Venkata Tangella

What is the unique 10-digit identification code assigned to Vijaya Venkata Tangella by the Centers for Medicare & Medicaid Services?

The Vijaya Venkata Tangella has been issued the NPI (National Provider Identifier) 1174691232, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Vijaya Venkata Tangella's facilities are situated?

The facilities of Vijaya Venkata Tangella are physically located at the following address: 739 Chappell Dr, Raleigh, NC, 276063215.

What is the Vijaya Venkata Tangella's specialty and taxonomy code?

The Vijaya Venkata Tangella's specialty is Intellectual And Developmental Disabilities, and the corresponding taxonomy code is 103Tm1800X.

On what date did the Vijaya Venkata Tangella receive its 1174691232 assignment from the Centers for Medicare & Medicaid Services?

The Vijaya Venkata Tangella was assigned its 1174691232 by the Centers for Medicare & Medicaid Services on 2006-11-30.

When was the information regarding Vijaya Venkata Tangella most recently updated?

The details pertaining to the Vijaya Venkata Tangella, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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