Chirumamilla, Vijaya Lakshmi

Chirumamilla, Vijaya Lakshmi is an sole proprietor health care provider with primary practice located at 3400 S Crater Rd Suite B, Petersburg VA 23805-9211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Chirumamilla, Vijaya Lakshmi can be contacted via phone (804) 733-6960.

Contact Information

Primary practice address
3400 S Crater Rd Suite B Petersburg VA 23805-9211
Phone: (804) 733-6960
Fax: (804) 733-3880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101044813 Virginia

Profile Details

NPI number 1194773994
LBN Legal business name Chirumamilla, Vijaya Lakshmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Apr 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194773994 NPPES
Virginia MEDICAID 006034403

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