Vijaykumar, Puvalai
Vijaykumar, Puvalai is an individual health care provider with primary practice located at 1707 Watson Blvd , Warner Robins GA 31093-3606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Vijaykumar, Puvalai can be contacted via phone (478) 929-8030.Contact Information
Primary practice address
1707 Watson Blvd
Warner Robins GA 31093-3606
Phone: (478) 929-8030
Fax: (478) 929-8095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18484 | West Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35071686V | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD041441E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 084192 | Georgia |
Profile Details
| NPI number | 1629066386 |
|---|---|
| LBN Legal business name | Vijaykumar, Puvalai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Jan 20th, 2020 - about 6 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 | 1629066386 | NPPES |
| Ohio | MEDICAID | 0188229 | |
| Ohio | MEDICAID | 0086343000 | |
| Ohio | MEDICAID | 0011803240008 | |
| Ohio | MEDICAID | 0011803240001 |
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