Organization
DR. VIJAY PETHKAR MD PLLC
Active
Other names
Vijay Pethkar MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY PETHKAR M.D. (OWNER)
(615) 727-1963
Entity
Organization
Contact information
Practice address
780 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3323
(615) 758-9273
(615) 758-4821
Mailing address
780 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3323
(615) 758-9273
(615) 758-4821
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD31687
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD31687
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
MD31687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3729715
—
TN
Enumeration date
03/14/2007
Last updated
02/05/2023
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