Individual
VIJAYA K KOSARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST FL 1, CHARLOTTESVILLE, VA 22908
(434) 924-9400
(434) 972-4266
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1952644791
VA
2085R0202X
Diagnostic Radiology Physician
Primary
MD483030
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952644791
—
VA
Enumeration date
03/29/2013
Last updated
03/06/2024
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