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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720014509 NPPES
Texas Other 8BZ707 BCBS TEXAS
Texas MEDICAID 137824212 BCBS TEXAS

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