Individual
DR. VIJAYA VARDHAN CHUNDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 SE TIFFANY AVE STE 104, PORT ST LUCIE, FL 34952
(772) 398-2233
(772) 398-2244
Mailing address
1825 SE TIFFANY AVE STE 104, PORT ST LUCIE, FL 34952-7554
(772) 398-2233
(772) 398-2244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME73320
FL
Other
Enumeration date
02/08/2006
Last updated
05/21/2018
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