Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vijay Sam Nethala, MBBS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093493355

Vijay Sam Nethala, MBBS is a Student in an Organized Health Care Education/Training Program in Tucson, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

6200 N La Cholla Blvd
Tucson, AZ 85741-3529
Phone: (575) 386-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1551 E Tangerine Rd, Oro Valley, AZ 85755-6213 — (575) 386-9110

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence R80442 (AZ)

Record details

NPI number1093493355
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorYes
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

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