Surya Kumari Vangore


Address: 431 W Roosevelt Blvd, Philadelphia, PA 19120-4148

Surya Kumari Vangore (NPI# 1043279524, PAC ID# 4082634951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1043279524
PAC ID by PECOS 4082634951
Professional Enrollment ID I20051207000320
Full Name Surya Kumari Vangore
Address 431 W Roosevelt Blvd
Philadelphia
PA 19120-4148
Gender F
Credential MD
Graduation Year 1963
Primary Specialty GENERAL PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390027 TEMPLE UNIVERSITY HOSPITAL
390142 ALBERT EINSTEIN MEDICAL CENTER
390080 JEANES HOSPITAL

Other Locations

Address Phone Organization
431 W Roosevelt Blvd, Philadelphia, PA 19120-4148

Organization Information

Office Location

Street Address 431 W ROOSEVELT BLVD
City PHILADELPHIA
State PA
Zip 19120-4148

Physicians in the same zip code

Name Specialty Organization Address
Laureano Garcia Family Medicine 328 W Godfrey Ave, Philadelphia, PA 19120-1410
Truong H Nguyen Internal Medicine 5746 Rising Sun Ave, Suite 1, Philadelphia, PA 19120-1626
Chuong V Trinh Internal Medicine 5920 N 5th St, Philadelphia, PA 19120-1824
Huyen Trinh Optometry 6001 N 5th St, Philadelphia, PA 19120-1825
George Chau Physical Therapy Vip Healthcare Group 6043 N 5th St, Philadelphia, PA 19120-1848
Christopher Park Physical Therapy Vip Healthcare Group 6043 N 5th St, Philadelphia, PA 19120-1848
Binh Nguyen Physical Therapy Vip Healthcare Group 6043 N 5th St, Philadelphia, PA 19120-1848
Guillermo A Infante Gutierrez Family Medicine Hr Physician Services 5600 Tabor Ave, Philadelphia, PA 19120-2131
Minh D Vu Physician Assistant Einstein Community Health Associates Inc 101 E Olney Ave, Suite C5, Philadelphia, PA 19120-2470
Barry L Marks Family Medicine Einstein Community Health Associates Inc 101 E Olney Ave, Suite C5, Philadelphia, PA 19120-2470
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Competitor

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City PHILADELPHIA
Zip Code 19120
Specialty GENERAL PRACTICE
City + Specialty PHILADELPHIA + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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