Katukuri, Vijay

Katukuri, Vijay is an individual health care provider with primary practice located at 7332 Office Park Pl Ste 103 , Melbourne FL 32940-8241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Katukuri, Vijay can be contacted via phone (321) 327-9788.

Contact Information

Primary practice address
7332 Office Park Pl Ste 103 Melbourne FL 32940-8241
Phone: (321) 327-9788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME111580 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME111580 Florida

Profile Details

NPI number 1255590261
LBN Legal business name Katukuri, Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Sep 21st, 2021 - about 3 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 1255590261 NPPES
Florida Other 9399867 AETNA
Florida MEDICAID 100992200 AETNA
Florida Other M4265 AETNA
Florida Other 14J9M AETNA

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