VIJAY KORIMILLI


Address: 737 Broadway, Fargo, ND 58122-0001
Phone: 7012342000

VIJAY KORIMILLI (NPI# 1801091384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801091384
Entity Type Individual
Full Name VIJAY KORIMILLI
Other Name VIJAY LVS KORIMILLI
Credential MD
Practice Address 737 Broadway
Fargo
ND 58122-0001
Practice Telephone 7012342000
Mailing Telephone 7012342000
Enumeration Date 2007-06-15
Last Update Date 2008-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 10621 ND Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine PT 10621 ND Allopathic & Osteopathic Physicians

Office Location

Street Address 737 BROADWAY
City FARGO
State ND
Zip Code 58122-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437103959 Robin J Sickels Dietitian, Registered 737 Broadway, Fargo, ND 58122-0001 2006-05-20
1679883680 Summer Schauer Nurse Anesthetist, Certified Registered 737 Broadway, Fargo, ND 58122-0001 2010-10-13
1588974596 Melissa Vanmatre Nurse Anesthetist, Certified Registered 737 Broadway, Fargo, ND 58122-0001 2010-10-13
1164652640 Sanford Clinic North Clinical Medical Laboratory 737 Broadway, Fargo, ND 58122-0045 2009-07-20
1710138375 Kent C Moser Nurse Anesthetist, Certified Registered 737 Broadway, Fargo, ND 58122-0001 2008-10-01
1023268711 Katie C Busker Nurse Anesthetist, Certified Registered 737 Broadway, Fargo, ND 58122 2008-09-30
1770731473 Andrea B Peterson Nurse Practitioner 737 Broadway, Fargo, ND 58122-0001 2008-09-05
1437362571 Heidi J Lako-adamson Emergency Medicine 737 Broadway, Fargo, ND 58122-0001 2007-05-07
1164567970 Kristen M Liebl Dietary Manager 737 Broadway, Fargo, ND 58122-0001 2007-02-20
1063565802 Bruce I Errett Anesthesiology 737 Broadway, Fargo, ND 58122-0001 2007-01-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184142747 Kayla Estepp Internal Medicine 737 Broadway North, Fargo, ND 58122 2017-09-05
1376091793 Paul Mckay Physical Therapist 801 Broadway N., Fargo, ND 58122 2016-09-14
1801290150 Mark Noah Physical Therapist 1720 South University, Fargo, ND 58122 2014-10-15
1245633486 Diana Palm Physical Therapist 1720 University Drive South, Fargo, ND 58122 2014-10-02
1447696406 Mohamad Imam Internal Medicine 801 Broadway North, Fargo, ND 58122 2013-05-17
1457615155 Chantee Seung Gruenhagen Nurse Practitioner 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 2012-06-27
1457594079 Manisha Balhara Specialist 2400 32nd Avenue S, Fargo, ND 58122 2009-04-13
1578536728 Shelby A Terstriep Internal Medicine 820 4 Street North, Fargo, NC 58122 2006-02-08
1295229946 Christopher Hinh Student in an Organized Health Care Education/Training Program 801 Broadway North, Fargo, ND 58122 2018-06-17
1558854539 Suchita Kotnala Family Medicine 737 Broadway North, Fargo, ND 58122 2018-06-13
Find all providers in zip 58122

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184142747 Kayla Estepp Internal Medicine 737 Broadway North, Fargo, ND 58122 2017-09-05
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1700238714 Youstina Michael Internal Medicine 408 Roberts St N Apt 208, Fargo, ND 58102-4599 2016-07-01
1164834289 Joshua Jost Internal Medicine Broadway N, 801, Fargo, ND 58122-0170 2014-05-22
1659782258 Sarah Fanai Internal Medicine Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 2014-05-16
1447696406 Mohamad Imam Internal Medicine 801 Broadway North, Fargo, ND 58122 2013-05-17
1316383383 Janya Swami Internal Medicine Sanford Health System 801 Broadway N, Fargo, ND 58122-0170 2013-05-17
1922361716 Sanford Clinic North Internal Medicine 2960 Seter Pkwy, Fargo, ND 58104-8692 2012-06-18
1912273418 Eric Priyakumar Ragland Internal Medicine Essentia Health, 3000 32nd Ave S, Fargo, ND 58104 2012-03-29
1811153802 Suzanne L Vargot Internal Medicine 2102 Elm Str North, Dept of Veterans Affairs Medical Center, Fargo, ND 58102-2498 2008-07-30
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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