Kotturi, Vijendra
Kotturi, Vijendra is an individual health care provider with primary practice located at 400 S 43Rd St , Renton WA 98055-5714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kotturi, Vijendra can be contacted via phone (425) 228-3220.Contact Information
Primary practice address
400 S 43Rd St
Renton WA 98055-5714
Phone: (425) 228-3220
Fax: (253) 395-1954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60051023 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60051023 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25MA09045100 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA09045100 | New Jersey |
Profile Details
| NPI number | 1669679700 |
|---|---|
| LBN Legal business name | Kotturi, Vijendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2007 |
| Last updated | Dec 28th, 2023 - about last year |
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 | 1669679700 | NPPES |
| Washington | Other | P00927875 | MEDICARE RAILROAD |
| Washington | Other | 0272031 | MEDICARE RAILROAD |
| Washington | MEDICAID | 2002120 | MEDICARE RAILROAD |
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