Kosaraju, Vijaya K
Kosaraju, Vijaya K is an individual health care provider with primary practice located at 1215 Lee St Fl 1 , Charlottesville VA 22908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kosaraju, Vijaya K can be contacted via phone (434) 924-9400.Contact Information
Primary practice address
1215 Lee St Fl 1
Charlottesville VA 22908
Phone: (434) 924-9400
Fax: (434) 972-4266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 1952644791 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD483030 | Pennsylvania |
Profile Details
| NPI number | 1952644791 |
|---|---|
| LBN Legal business name | Kosaraju, Vijaya K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Mar 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952644791 | NPPES |
| Virginia | MEDICAID | 1952644791 |
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