Individual
VIJAY S DUGGIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250620
MA
207R00000X
Internal Medicine Physician
35.121032
OH
208M00000X
Hospitalist Physician
250620
MA
208M00000X
Hospitalist Physician
Primary
35.121032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087784
—
OH
05
—
110092527A
—
MA
Enumeration date
07/08/2009
Last updated
02/21/2019
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