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NPI Code Detail

MEDICARE: DR. GIRIJA CHARUGUNDLA M.D

MEDICARE:  DR. GIRIJA  CHARUGUNDLA  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA043441CA

General Provider Information

NPI Number : 1639327802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GIRIJA CHARUGUNDLA M.D
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 1637 CURTIS AVE
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-7022
Country : US
Telephone Number : 310-937-8767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2008
Last Update Date : 12/07/2025

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Directions to “ DR. GIRIJA CHARUGUNDLA M.D” Practice Location

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