Individual
DR. VIJAYA L ATLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805
(260) 426-5431
Mailing address
510 FALLEN TIMBERS TRAIL, FORT WAYNE, IN 46825
(260) 489-3008
(260) 460-1425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01033289A
IN
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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