Provider Demographics
NPI:1366628604
Name:VALLI A VUJJENI MD INC
Entity Type:Organization
Organization Name:VALLI A VUJJENI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALLI
Authorized Official - Middle Name:A
Authorized Official - Last Name:VUJJENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-960-1114
Mailing Address - Street 1:PO BOX 242
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95009-0242
Mailing Address - Country:US
Mailing Address - Phone:408-960-1114
Mailing Address - Fax:408-960-1115
Practice Address - Street 1:2101 FOREST AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1448
Practice Address - Country:US
Practice Address - Phone:408-960-1114
Practice Address - Fax:408-960-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93139207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty