Thekkeurumbil, Vijaya R.
Thekkeurumbil, Vijaya R. is an individual health care provider with primary practice located at 100 Northcrest Dr , Springfield TN 37172-3927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Thekkeurumbil, Vijaya R. can be contacted via phone (615) 384-2411.Contact Information
Primary practice address
100 Northcrest Dr
Springfield TN 37172-3927
Phone: (615) 384-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 44167 | Kentucky |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34848 | Tennessee |
Profile Details
| NPI number | 1205871472 |
|---|---|
| LBN Legal business name | Thekkeurumbil, Vijaya R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Oct 7th, 2019 - about 5 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 | 1205871472 | NPPES |
| Tennessee | Other | 10015751 | OMNICARE TENNCARE |
| Tennessee | MEDICAID | 64029556 | OMNICARE TENNCARE |
| Tennessee | MEDICAID | 3862507 | OMNICARE TENNCARE |
| Tennessee | MEDICAID | 3862508 | OMNICARE TENNCARE |
| Tennessee | MEDICAID | 3862509 | OMNICARE TENNCARE |
| Tennessee | Other | 4013849 | OMNICARE TENNCARE |
| Tennessee | Other | P00384333 | OMNICARE TENNCARE |
| Tennessee | Other | 4001211 | OMNICARE TENNCARE |
| Tennessee | Other | 930113083 | OMNICARE TENNCARE |
| Tennessee | Other | 21060 | OMNICARE TENNCARE |
| Tennessee | Other | 50004635 | OMNICARE TENNCARE |
| Tennessee | Other | P00186020 | OMNICARE TENNCARE |
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