Individual
VIJAY ADUSUMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094
(440) 953-6203
(440) 953-6202
Mailing address
45 CHATFIELD DR, PAINESVILLE, OH 44077
(440) 358-0260
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35081531A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342558
—
OH
Enumeration date
03/29/2006
Last updated
02/17/2011
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