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NPI Code Detail

MEDICARE: VIJAY C KATUKOTA, A MEDICAL CORPORATION

MEDICARE: VIJAY C KATUKOTA, A MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA38343CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760545503
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIJAY C KATUKOTA, A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 1177 N PARK AVE
Second Line :
City : POMONA
State : CA
Zip : 91768-3028
Country : US
Telephone Number : 909-623-9900
Fax Number : 909-623-1993
Provider Business Practice Location Address
First Line : 1177 N PARK AVE
Second Line :
City : POMONA
State : CA
Zip : 91768-3028
Country : US
Telephone Number : 909-623-9900
Fax Number : 909-623-1993
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : VIJAY CHANDRA KATUKOTA
Credential : M.D.
Telephone Number : 909-623-9900
Provider Enumeration Date : 12/19/2006
Last Update Date : 11/04/2010

Similar Medicare Providers

1013954825 — VIJAY CHANDRUDU KATUKOTA M.D;F.A.C.O.G
Practice Location Address:
1177 N PARK AVE
POMONA, CA
91768-3028
Practice Phone: 909-623-9900
Practice Fax: 909-623-1993
1588728422 — MRS. ELIZABETH J BOLAJI CNM, NP-BC
Practice Location Address:
1177 N PARK AVE
POMONA, CA
91768-3028
Practice Phone: 909-623-9900
Practice Fax: 909-623-1993
1184769705 — MRS. MARGARITA DEANNE PARRA P.A.-C
Practice Location Address:
1177 N PARK AVE
POMONA, CA
91768-3028
Practice Phone: 909-623-9900
Practice Fax:
1871620724 — SHERRI L PURPORA N.P.
Practice Location Address:
1177 N PARK AVE
POMONA, CA
91768-3028
Practice Phone: 909-623-9900
Practice Fax: 909-623-1993
1427235027 — SUSAN G. AQUINO NP
Practice Location Address:
1177 N PARK AVE
POMONA, CA
91768-3028
Practice Phone: 909-623-9900
Practice Fax:
1710233531 — MRS. BLANCA ANGELES GARIA RN NP
Practice Location Address:
1177 N PARK AVE
POMONA, CA
91768-3028
Practice Phone: 909-623-9900
Practice Fax: 909-623-1993

Directions to “VIJAY C KATUKOTA, A MEDICAL CORPORATION ” Practice Location

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