Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Surya K. Vangore MD PC

Organization Health Maintenance Organization · NPI 1750565263

Surya K. Vangore MD PC is a Health Maintenance Organization in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

431 W Roosevelt Blvd
Philadelphia, PA 19120-4148
Phone: (215) 455-3444
Fax: (215) 455-3445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence MD038910L (PA)

Record details

NPI number1750565263
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSurya K. Vangore MD
Authorized official Surya Vangore — Primary Care Physcian · (215) 455-3444
NPI enumeratedDecember 19, 2007
Last updated in NPPESMarch 2, 2020
Certification dateMarch 2, 2020
Mailing address431 W Roosevelt Blvd, Philadelphia, PA 19120-4148

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