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Provider Information for 1225218522

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

VIJAYA K. KATUKOTA M.D.

Gender: FEMALE

Individual NPI: 1225218522

Calendar   Last Updated:  2014-08-11
  Certification Date: 

Details

Name Value
NPI 1225218522
Enumeration Date 2007-11-05
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 641 MILFORD ST
LOS ANGELES, CA 90042-2796
United States

Phone: 323-550-1920 | Fax:
View Map External Link
Primary Practice Address 641 MILFORD ST
LOS ANGELES, CA 90042-2796
United States

Phone: 323-550-1920 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other CALIFORNIA LICENSE CA A38220
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine CA A38220