10D0946299 CLIA NUMBER - SREENIVAS P VANGARA

Laboratory Demographics

CLIA Number: 10D0946299

Facility Name: SREENIVAS P VANGARA

Facility Address:
5515 GULF DR STE B
NEW PORT RICHEY, FL
ZIP 34652
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Facility Phone Number: 727 848-3995

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497755771

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	10D0946299
LAB Type	Physician Office
Facility Name	SREENIVAS P VANGARA
Street	5515 GULF DR STE B
City	NEW PORT RICHEY
State	FL
ZIP	34652
Phone	727 848-3995
CertificateType	4
CertificateEffectiveDate	5/21/2022
CertificateExpirationDate	5/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024