VIJAY SAM NETHALA M.B.B.S
NPI 1093493355
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Active since July 07, 2023
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741(575) 386-9110 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vijay Sam Nethala M.b.b.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAY SAM NETHALA M.B.B.S (NPI 1093493355) is an individual student in an organized health care education/training program in Tucson, Arizona, licensed in Arizona (R80442) and active in the NPI registry since July 2023. He maintains a secondary practice location in Oro Valley.

NPPES Registry Identity

NPI1093493355
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIJAY SAM NETHALACredential: M.B.B.S
Location Address6200 N LA CHOLLA BLVDTucson, AZ 85741-3529
Mailing Address8323 N Shannon RdTucson, AZ 85742-9597 · (703) 966-4293
Sole ProprietorYes
Enumeration DateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
NPI 1093493355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in AZ · R80442
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6200 N LA CHOLLA BLVD, Tucson, AZ 85741

Secondary Practice Location 1

Location 11551 E Tangerine RdOro Valley, AZ 85755-6213 · Phone (575) 386-9110

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Internal Medicine
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Practitioner (Acute Care)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Nurse Anesthetist, Certified Registered
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Registered Nurse (Critical Care Medicine)
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741
Student in an Organized Health Care Education/Training Program
6200 N LA CHOLLA BLVD
TUCSON, AZ 85741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijay Sam Nethala's NPI number?

The NPI number for Vijay Sam Nethala is 1093493355. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Vijay Sam Nethala located?

Vijay Sam Nethala practices at 6200 N La Cholla Blvd, Tucson, AZ 85741. The listed phone number is (575) 386-9110.

What is Vijay Sam Nethala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vijay Sam Nethala was last updated on July 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.