Kodumudi, Vijay

Kodumudi, Vijay is an individual health care provider with primary practice located at 800 Washington St , Boston MA 02111-1552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Kodumudi, Vijay can be contacted via phone (617) 636-1359.

Contact Information

Primary practice address
800 Washington St Boston MA 02111-1552
Phone: (617) 636-1359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3013516 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1285374876
LBN Legal business name Kodumudi, Vijay
Credentials MD, MBA, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2022
Last updated Jul 3rd, 2024 - about 2 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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