Search › Tennessee › 207RP1001X
Vijay Pethkar, MD
NPI 1669470555 · on the registry since 2005 · sole proprietor
Practice
- Address
- 780 North Mt Juliet Rd
Mt Juliet, TN 37122 - Phone
- (615) 758-9273
- Fax
- (615) 758-4821
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 174400000X
207RS0012X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee