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Individual

VIJAY VEERULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3919 W JEFFERSON BLVD STE 1, FORT WAYNE, IN 46804-6811
(260) 436-7722
(260) 459-0012
Mailing address
3919 W JEFFERSON BLVD STE 1, FORT WAYNE, IN 46804-6811
(260) 436-7722
(260) 459-0012

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11021688A
IN

Other

Enumeration date
06/15/2021
Last updated
06/27/2024
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