Somaraju, Vijaya
Somaraju, Vijaya is an individual health care provider with primary practice located at 1905 E. Huebbe Parkway Beloit Clinic, Beloit WI 53511-1842. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Somaraju, Vijaya can be contacted via phone (608) 364-2240.Contact Information
Primary practice address
1905 E. Huebbe Parkway Beloit Clinic
Beloit WI 53511-1842
Phone: (608) 364-2240
Fax: (608) 363-7374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036097724 | Illinois |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 63995-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036-097724 | Illinois |
Profile Details
| NPI number | 1033187216 |
|---|---|
| LBN Legal business name | Somaraju, Vijaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033187216 | NPPES |
| Illinois | MEDICAID | 036097724 |
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