Cherukuri, Vijaya L

Cherukuri, Vijaya L is an individual health care provider with primary practice located at 218 Pasadena Ave S , Saint Petersburg FL 33707-1251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Cherukuri, Vijaya L can be contacted via phone (727) 345-0160.

Contact Information

Primary practice address
218 Pasadena Ave S Saint Petersburg FL 33707-1251
Phone: (727) 345-0160
Fax: (727) 345-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME0076324 Florida

Profile Details

NPI number 1750375267
LBN Legal business name Cherukuri, Vijaya L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750375267 NPPES
Florida MEDICAID 254803800

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