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DANIEL VIJJESWARAPU M.D. P.A. NPI 1922281641


NPI Information

NPI: 1922281641
Provider Name: DANIEL VIJJESWARAPU M.D. P.A.

Doing Business As: KIDS DOC CC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3240 FORT WORTH ST
SUITE 111
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 814-8453
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DANIEL VIJJESWARAPU M.D. P.A. is a pediatrics in Corpus Christi, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DANIEL VIJJESWARAPU M.D. P.A. NPI is 1922281641. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kids Doc Cc.

The provider's business location address is:

3240 FORT WORTH ST
SUITE 111
CORPUS CHRISTI, TX
ZIP 78411-459
Phone: (361) 814-8453
Fax: (361) 814-0487

The provider's authorized official is Daniel Vijjeswarapu .
The authorized official title is Ceo and has the following contact phone number (361) 814-8453.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 1/5/2009.


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
1208000000XPediatricsK7115TEXASYes

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
1159629801MEDICAIDTEXAS
2159629803MEDICAIDTEXAS
3G56259MEDICARE UPINTEXAS
4127087807MEDICAIDTEXAS

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: 4/28/2024

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