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Contact Information

VIJAYA GUDURI
24035 THREE NOTCH ROAD
SHAH ASSOCIATES MD LLC
HOLLYWOOD, MD20636
 Phone: 301-373-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VIJAYA GUDURI · (Female)

NPI Number 1386825271
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2007
Last updated 12/13/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0068923
Hospital affiliation(s)
  • BALTIMORE WASHINGTON MEDICAL CENTER - (Acute Care)
    301 HOSPITAL DRIVE
    GLEN BURNIE, MD 21061
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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