Provider Demographics
NPI:1447410766
Name:DAVULURI, VIJAY K (MD)
Entity Type:Individual
Prefix:
First Name:VIJAY
Middle Name:K
Last Name:DAVULURI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14799 AVENIDA ANITA
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-6245
Mailing Address - Country:US
Mailing Address - Phone:315-263-2893
Mailing Address - Fax:
Practice Address - Street 1:222 N PACIFIC COAST HWY STE 1420
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5648
Practice Address - Country:US
Practice Address - Phone:877-878-3289
Practice Address - Fax:877-817-3227
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2023-07-27
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Provider Licenses
StateLicense IDTaxonomies
CAA170702208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery