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 2 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 | 1669679700 | NPPES |
| Washington | Other | P00927875 | MEDICARE RAILROAD |
| Washington | Other | 0272031 | MEDICARE RAILROAD |
| Washington | MEDICAID | 2002120 | MEDICARE RAILROAD |
Popular Providers
-
Cervenka, Frank J.
275 Bronson Way Ne , Renton WA 98056-4030 -
Khan, Lubna
606 Oakesdale Ave Sw Ste C200 , Renton WA 98057 -
Levy, Brian Shawn
400 S 43Rd St , Renton WA 98055-5714 -
Lai, Yen-Tsun
4033 Talbot Rd S Ste 570 , Renton WA 98055 -
Berlin, Christopher Jack
2715 Naches Ave Sw , Renton WA 98057-2627 -
Edula, Raja Gopal Reddy
4011 Talbot Rd S Ste 500 , Renton WA 98055-5782 -
Auerbach, Patricia Christina
10555 Se Carr Rd Bldg M , Renton WA 98055 -
Rajvanshi, Pankaj
4011 Talbot Rd S Ste 500 , Renton WA 98055-5782