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VIJAY C KATUKOTA A MEDICAL CORPORATION NPI 1760545503


NPI Information

NPI: 1760545503
Provider Name: VIJAY C KATUKOTA, A MEDICAL CORPORATION

Other Name: VIJAY C. KATUKOTA,, A MEDICAL CORPORATION

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1177 N PARK AVE
POMONA, CA
ZIP 91768
Phone: (909) 623-9900
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VIJAY C KATUKOTA, A MEDICAL CORPORATION is an obstetrics gynecology in Pomona, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. VIJAY C KATUKOTA, A MEDICAL CORPORATION NPI is 1760545503. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Vijay C. Katukota,, A Medical Corporation.

The provider's business location address is:

1177 N PARK AVE
POMONA, CA
ZIP 91768-028
Phone: (909) 623-9900
Fax: (909) 623-1993

The provider's authorized official is Vijay Chandra Katukota .
The authorized official title is Medical Director and has the following contact phone number (909) 623-9900.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyA38343CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A383430MEDICAIDCALIFORNIA
2C35490MEDICARE UPINCALIFORNIA
3A38343MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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