Vikas Duvvuri MD PHD a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A99706 Issued in CA

Legal business name

VIKAS DUVVURI MD PHD A PROFESSIONAL CORPORATION

Practice address

1941 Ofarrell St Ste 106
San Mateo, CA 94403-1374

Phone

(650) 425-0552

NPI assigned

Apr 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Vikas Duvvuri, M.D.

Title

Owner

Phone

(650) 425-0552

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1609294768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 OFARRELL ST STE 106",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031374",
            "telephone_number": "650-425-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 OFARRELL ST STE 106",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031374",
            "telephone_number": "650-425-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKAS DUVVURI MD PHD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "DUVVURI",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-425-0552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A99706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.