Vijay K Davuluri, MD | |
222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245-5648 | |
(877) 878-3289 | |
(877) 817-3227 |
Full Name | Vijay K Davuluri |
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Gender | Male |
Speciality | Surgery |
Location | 222 N Pacific Coast Hwy Ste 1420, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447410766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A170702 (California) | Primary |
Entity Name | Robert Marriott Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20080519000660 |
Mailing Address | Practice Location Address |
---|---|
Vijay K Davuluri, MD 14799 Avenida Anita, Chino Hills, CA 91709-6245 Ph: (315) 263-2893 | Vijay K Davuluri, MD 222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245-5648 Ph: (877) 878-3289 |
Dr. Cyrus David Rahnema, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 | |
James David Maciel, MD, MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 1420, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 | |
Thuy Cao, MD Surgery Medicare: Medicare Enrolled Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 | |
Dr. Kathy Palatnik, Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 | |
Dr. Gonzalo Cruz-schiavone, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 | |
Robert Marriott, MD Surgery Medicare: Medicare Enrolled Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 Fax: 877-817-3227 |