Individual
VICTOR A VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-6828
(615) 342-6836
Mailing address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-6828
(615) 342-6836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38642
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514976
—
TN
05
—
287889
—
SC
01
—
4308730
BCBST
TN
01
—
6011152
BLUE CROSS-BLUE SHIELD
TN
05
—
7100189690
—
KY
01
—
P01016892
RAILROAD MEDICARE
TN
Enumeration date
04/25/2006
Last updated
03/31/2017
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