Adimoolam, Vijay Venkata

Adimoolam, Vijay Venkata is an sole proprietor health care provider with primary practice located at 6565 N Charles St Ste 512 , Baltimore MD 21204-6826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Adimoolam, Vijay Venkata can be contacted via phone (443) 849-3400.

Contact Information

Primary practice address
6565 N Charles St Ste 512 Baltimore MD 21204-6826
Fax: (443) 849-3402
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD-51129 Iowa
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X N7385 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101278304 Virginia

Profile Details

NPI number 1588693857
LBN Legal business name Adimoolam, Vijay Venkata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jan 16th, 2024 - about 11 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588693857 NPPES
Texas MEDICAID 218995301

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