Kusnoor, Vijay S
Kusnoor, Vijay S is an individual health care provider with primary practice located at 3570 College Suite 200, Beaumont TX 77701-4679. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Kusnoor, Vijay S can be contacted via phone (409) 839-3118.Contact Information
Primary practice address
3570 College Suite 200
Beaumont TX 77701-4679
Phone: (409) 839-3118
Fax: (409) 654-6922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | F5263 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | F5263 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | F5263 | Texas |
Profile Details
| NPI number | 1720014509 |
|---|---|
| LBN Legal business name | Kusnoor, Vijay S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Sep 18th, 2018 - about 6 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 | 1720014509 | NPPES |
| Texas | Other | 8BZ707 | BCBS TEXAS |
| Texas | MEDICAID | 137824212 | BCBS TEXAS |
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