DR. MARY KAVITHA VANGALA M.D. NPI 1649412099

NPI Information

NPI: 1649412099
Provider Name: DR. MARY KAVITHA VANGALA, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: ORLANDO HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
9430 TURKEY LAKE RD STE 110
ORLANDO, FL
ZIP 32819
Phone: (321) 841-7856
Get Directions

DR. Mary Kavitha Vangala, M.D. is a critical care medicine internal medicine in Orlando, FL with 23 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Mary Kavitha Vangala, M.D. NPI is 1649412099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9430 TURKEY LAKE RD STE 110
ORLANDO, FL
ZIP 32819-015
Phone: (321) 841-7856
Fax: (321) 843-6432

The NPI 1649412099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	ME107710	FLORIDA	Yes
2	207RP1001X	Internal Medicine	Pulmonary Disease	ME107710	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002912400	MEDICAID	FLORIDA
2	ME107710	OTHER	FLORIDA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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