Rupanagudi, Vijay A
Rupanagudi, Vijay A is an individual health care provider with primary practice located at 135 W 3Rd St , Cookeville TN 38501-2478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Rupanagudi, Vijay A can be contacted via phone (931) 202-3697.Contact Information
Primary practice address
135 W 3Rd St
Cookeville TN 38501-2478
Phone: (931) 202-3697
Fax: (833) 944-0207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 45978 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD45978 | Tennessee |
Profile Details
| NPI number | 1649290404 |
|---|---|
| LBN Legal business name | Rupanagudi, Vijay A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jan 25th, 2021 - about 4 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 | 1649290404 | NPPES |
| Tennessee | MEDICAID | 1520062 | |
| Tennessee | Other | 4267428 | |
| Tennessee | MEDICAID | 7100187270 | |
| Tennessee | MEDICAID | Q059015 |
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