Individual
VIJAY VENKATA ADIMOOLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 N CHARLES ST STE 512, BALTIMORE, MD 21204-6826
(443) 849-3400
(443) 849-3402
Mailing address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 849-6775
(438) 493-1384
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101278304
VA
207RG0100X
Gastroenterology Physician
35C.001833
OH
207RG0100X
Gastroenterology Physician
MD-51129
IA
207RG0100X
Gastroenterology Physician
ME166393
FL
207RG0100X
Gastroenterology Physician
N7385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129019900
—
FL
05
—
218995301
—
TX
Enumeration date
06/30/2006
Last updated
04/02/2026
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