Individual
DR. VIJAYAPRAVEENA PARUCHURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 LANSING ST STE 1160, AUBURN, NY 13021-1983
(315) 567-0540
(315) 567-0334
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7011
(315) 255-7099
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
254091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03879825
—
NY
Enumeration date
07/21/2009
Last updated
03/21/2023
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