Dr. Vijay Tirumalasetty, MD
Family Medicine in Canton, GA. Individual provider (NPI-1).
NPI number1760618003
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1760618003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vijay Tirumalasetty
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2009
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 72940 | GA | Yes |
| 207Q00000X | Family Medicine | 4301094275 | MI | |
| 207Q00000X | Family Medicine | MD.31878 | AL |
Practice location
6613 Hickory Flat HwyCanton, GA 30115-7237
Phone 770-268-4357 · Fax 470-251-6064
Mailing address
3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304
Phone 770-914-0016 · Fax 770-955-4278
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