NPI 1053526871 · live from the CMS NPI Registry
Vijayamala Bondugula, M.D.
Psychiatry & Neurology, Neurology in Gainesville, GA. National Provider Identifier 1053526871, active.
NPI record
| NPI | 1053526871 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 743 Spring St Ne, Gainesville, GA 30501 |
| Practice phone | 770-219-9000 |
| Mailing address | Po Box 742616, Atlanta, GA 30374 |
| Enumerated | May 14, 2007 |
| Last updated | December 7, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuromusculoskeletal Medicine & OMM | 204D00000X | 32361 (AL) |
| Family Medicine | 207Q00000X | MT188910 (PA) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 85325 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.