NPI: 1023256153 · MERCED, CA 95348 · Internal Medicine Physician · NPI assigned 01/27/2009
| Authorized Official | TANGELLA, VIJAYA (OWNER) |
| NPI Enumeration Date | 01/27/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $1K |
| 2019 | 13 | $2K |
| 2023 | 12 | $1K |
| 2024 | 14 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00731 | 51 | 51 | $6K |