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NPI Code Detail

MEDICARE: DR. VIJAY KATARI, PLLC

MEDICARE: DR. VIJAY KATARI, PLLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1831697028
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. VIJAY KATARI, PLLC
Provider Business Mailing Address
First Line : 11625 CUSTER ROAD
Second Line : PO BOX 501
City : FRSICO
State : TX
Zip : 75035-8783
Country : US
Telephone Number : 214-425-0254
Fax Number : 214-856-3140
Provider Business Practice Location Address
First Line : 7930 NORTH HAVEN ROAD
Second Line :
City : DALLAS
State : TX
Zip : 75231-3406
Country : US
Telephone Number : 214-425-0254
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VIJAY SEKHAR KATARI
Credential : MD
Telephone Number : 214-425-0254
Provider Enumeration Date : 01/23/2018
Last Update Date : 12/13/2019

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