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Individual

DR. NAMPALLI K VIJAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 E 19TH AVE STE 5000, DENVER, CO 80218-1254
(303) 839-7100
(303) 839-7249
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 839-7100
(303) 839-7249

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21147
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01211473
CO
05
100171280D
KS
05
10026280600
NE
05
10026280700
NE
05
10026280800
NE
05
10026281000
NE
05
10026281200
NE
05
10026283100
NE
05
104587300
WY
05
1548256936
NE
05
1982948089
NE
Enumeration date
09/21/2005
Last updated
07/21/2022
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