Individual
VINAY K KATUKURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 E OAK ST STE 201, KISSIMMEE, FL 34744-5834
(407) 703-3300
(407) 703-3302
Mailing address
9462 BECKER CT, ORLANDO, FL 32827-4304
(407) 518-7277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301077924
MI
207RG0100X
Gastroenterology Physician
01094048A
IN
207RG0100X
Gastroenterology Physician
C141228
CA
207RG0100X
Gastroenterology Physician
Primary
ME136923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F37698
BCBSM
MI
05
—
4673474
—
MI
Enumeration date
12/26/2006
Last updated
08/02/2024
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