Pethkar, Vijay
Pethkar, Vijay is an sole proprietor health care provider with primary practice located at 780 North Mt Juliet Rd , Mt Juliet TN 37122-0780. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Pethkar, Vijay can be contacted via phone (615) 758-9273.Contact Information
Primary practice address
780 North Mt Juliet Rd
Mt Juliet TN 37122-0780
Phone: (615) 758-9273
Fax: (615) 758-4821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD31687 | Tennessee |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 031687 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 031687 | Tennessee |
Profile Details
| NPI number | 1669470555 |
|---|---|
| LBN Legal business name | Pethkar, Vijay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Feb 5th, 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 | 1669470555 | NPPES |
| Tennessee | Other | 4102896 | BLUE CROSS BLUE SHIELD TN |
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