Vijayasekhar Reddy Tatagari, M.D.
Internal Medicine in Dover, DE. Individual provider (NPI-1).
NPI number1710079942
StatusActive
Last updated in NPPESMay 16, 2012
Details
- NPI
- 1710079942
- Entity type
- Individual (NPI-1)
- Name
- Vijayasekhar Reddy Tatagari
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Last updated
- May 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | C1-0004573 | DE | Yes |
Practice location
31 Gooden AveDover, DE 19904-4143
Phone 302-674-9141 · Fax 302-674-5907
Mailing address
31 Gooden AveDover, DE 19904-4143
Phone 302-674-9141 · Fax 302-674-5907
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