Individual
VIJAY GOTTIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 SIM HODGIN PKWY, RICHMOND, IN 47374-1928
(765) 966-5949
Mailing address
1667 INDIGO OAK LN, SAN JOSE, CA 95121-1983
(408) 504-5998
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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