Individual
DR. VIJAYANARAYANA RAO JAMPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 WHITESPORT DR SW STE 101, HUNTSVILLE, AL 35801-6429
(256) 880-4077
(256) 880-5277
Mailing address
400 WHITESPORT DR SW STE 101, HUNTSVILLE, AL 35801-6429
(256) 880-4077
(256) 880-5277
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
00026049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051000363
BLUECROSSBLUESHIELD
AL
01
—
051524363
BLUECROSSBLUESHIELD
AL
01
—
051555317
MEDICARE PTAN
AL
05
—
051555317
—
AL
Enumeration date
07/29/2006
Last updated
04/02/2018
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