Individual
VIJAYA L CHERUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
218 PASADENA AVE S, SAINT PETERSBURG, FL 33707-1251
(727) 345-0160
(727) 345-0100
Mailing address
9306 SILVERTHORN RD, LARGO, FL 33777-3163
(727) 345-0160
(727) 345-0100
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0076324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254803800
—
FL
Enumeration date
09/12/2005
Last updated
05/18/2015
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