Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIJAY PETHKAR, MD
Active Sole ProprietorVIJAY PETHKAR, MD is a Pulmonary Disease healthcare provider located in MT JULIET, Tennessee. NPI 1669470555 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · MT JULIET, TN
Registration Details
- NPI Number
- 1669470555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2005 (21.133330616738 yrs)
- Last Updated
- Feb 5, 2023
- Licenses
-
MD31687 (TN)031687 (TN)031687 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
780 NORTH MT JULIET RDMT JULIET, TN, 371220780Browse TN providers · Browse ZIP 37122
- Phone
- 6157589273
- Fax
- 6157584821
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Pulmonary Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.