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Individual
DR. VIJAY TIRUMALASETTY
Active
Individual
DR. VIJAY TIRUMALASETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301094275
MI
207Q00000X
Family Medicine Physician
Primary
72940
GA
207Q00000X
Family Medicine Physician
MD.31878
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141108
—
AL
01
—
511-27915
BCBS
AL
Enumeration date
06/01/2009
Last updated
02/25/2025
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