Rupanagudi, Vijay A

Rupanagudi, Vijay A is an individual health care provider with primary practice located at 135 W 3Rd St , Cookeville TN 38501-2478. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Rupanagudi, Vijay A can be contacted via phone (931) 202-3697.

Contact Information

Primary practice address
135 W 3Rd St Cookeville TN 38501-2478
Phone: (931) 202-3697
Fax: (833) 944-0207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 45978 Tennessee
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD45978 Tennessee

Profile Details

NPI number 1649290404
LBN Legal business name Rupanagudi, Vijay A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 25th, 2021 - about 3 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 1649290404 NPPES
Tennessee MEDICAID 1520062
Tennessee Other 4267428
Tennessee MEDICAID 7100187270
Tennessee MEDICAID Q059015

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