Individual
DR. VIJAY MUDUNURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CREEKSIDE DR, FOLSOM, CA 95630-3444
(916) 235-7790
(916) 235-7791
Mailing address
1111 EXPOSITION BLVD STE 300, SACRAMENTO, CA 95815-4324
(916) 929-8564
(916) 929-4529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L917191
MI
207RN0300X
Nephrology Physician
29945
AL
207RN0300X
Nephrology Physician
Primary
A135976
CA
Other
Enumeration date
05/17/2007
Last updated
06/13/2025
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