Provider Demographics
NPI:1063627362
Name:VEMULAPALLI, MADHAVI DURGA (MD)
Entity type:Individual
Prefix:DR
First Name:MADHAVI
Middle Name:DURGA
Last Name:VEMULAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:112 LA CASA VIA STE 300
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3059
Mailing Address - Country:US
Mailing Address - Phone:925-239-0012
Mailing Address - Fax:925-239-0011
Practice Address - Street 1:112 LA CASA VIA STE 300
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3059
Practice Address - Country:US
Practice Address - Phone:925-239-0012
Practice Address - Fax:925-239-0011
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA108156207V00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology