Provider Demographics
NPI:1720696099
Name:VEDULA, SAI CHARAN (MD)
Entity type:Individual
Prefix:
First Name:SAI
Middle Name:CHARAN
Last Name:VEDULA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EINSTEIN MEDICAL CENTER MONTGOMERY
Mailing Address - Street 2:559 WEST GERMANTOWN PIKE
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403
Mailing Address - Country:US
Mailing Address - Phone:484-622-1000
Mailing Address - Fax:
Practice Address - Street 1:EINSTEIN MEDICAL CENTER MONTGOMERY
Practice Address - Street 2:559 WEST GERMANTOWN PIKE
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403
Practice Address - Country:US
Practice Address - Phone:484-622-0968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT221411207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine