Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIJOYDEEP TANJORE VENKOBA RAO, MD
ActiveVIJOYDEEP TANJORE VENKOBA RAO, MD is a Pulmonary Disease healthcare provider located in NEWPORT, Tennessee. NPI 1790886109 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · NEWPORT, TN
Registration Details
- NPI Number
- 1790886109
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.856381785842 yrs)
- Last Updated
- Sep 10, 2020
- Licenses
-
11393R (LA)48284 (TN)
Practice Information
- Address
-
434 4TH ST STE 201NEWPORT, TN, 378213736Browse TN providers · Browse ZIP 37821
- Phone
- 4236131660
- Fax
- 4236131661
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- 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.