Vikram R Podduturu MD Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

VIKRAM R PODDUTURU MD INC

Practice address

2592 Clubhouse Dr W
Rocklin, CA 95765-5703

Phone

(215) 514-4612

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Ravdeep Sandhu

Title

Biller

Phone

(530) 342-7530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1942797782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 CLUBHOUSE DR W",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 CLUBHOUSE DR W",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655703",
            "telephone_number": "215-514-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKRAM R PODDUTURU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "RAVDEEP",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "530-342-7530"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Verdugo
• Mackenzie Verling
• Vicki Barker, LMFT, LLC
• Rebecca Victor
• Brooke Vidrine
• Viktoriya Seliverstova, DDS Inc. (Rocklin Plaza Dental)
• Justin Villafuerte
• Sharon Villareal
• Marquita Vinson
• Chaney Marie Virden

• Physical Medicine & Rehabilitation Physician in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.