Individual
DR. VIJAY KATUKURI
Active
Individual
DR. VIJAY KATUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME111580
FL
208VP0014X
Interventional Pain Medicine Physician
ME111580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100992200
—
FL
01
—
14J9M
BCBS
FL
01
—
9399867
AETNA
FL
01
—
M4265
MEDICARE HF
FL
Enumeration date
06/04/2008
Last updated
09/21/2021
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