| Doctor Name: | MRS. BHARATHI S VAYUVEGULA |
| NPI Number: | 1023044476 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A73424 |
| Business Practice Address: | 130 W Route 66 Suite 212 Glendora, CA - 917406249 |
| Business Phone Number: | 6269140174 |
| Business Fax Number: | 6269142008 |
| Mailing Address: | 1349 Brookside Ct, UPLAND |
| State: | CA |
| Postal Code: | 91784 |
| Phone Number: | 6265790103 |
| Fax Number: | 6265790060 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A73424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |