Vijay Chandrudu Katukota
Obstetrician & Gynecologist
1177 N Park Ave
Pomona
, California 91768-3028
Vijay Chandrudu Katukota
Obstetrician & Gynecologist
1177 N Park Ave
Pomona
, California 91768-3028
(909) 623-1993
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Vijay Chandrudu Katukota
- 1177 N Park Ave
- Pomona, CA
- Zip : 91768-3028
- Fax : (909) 623-1993
- Phone : (909) 623-9900
Second Address
- Vijay Chandrudu Katukota
- 1177 N Park Ave
- Pomona, CA
- Zip : 91768-3028
- Fax : (909) 623-1993
- Phone : (909) 623-9900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | A38343 | CA |
National Provider Identifier
| NPI | 1013954825 |
|---|---|
| Provider Name | Vijay Chandrudu Katukota |
| First Address | Pomona, CA 91768-3028 |
| Second Address | Pomona, CA 91768-3028 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 28/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A383430 | (05) | CA |
| C35490 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.