Provider Demographics
NPI:1043771413
Name:VALLURUPALLI, VIVEK RAM (MD)
Entity type:Individual
Prefix:
First Name:VIVEK
Middle Name:RAM
Last Name:VALLURUPALLI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 HOAG DR PO BOX 6100
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-6100
Mailing Address - Country:US
Mailing Address - Phone:949-764-6954
Mailing Address - Fax:949-764-5674
Practice Address - Street 1:1 HOAG DR PO BOX 6100
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92658-6100
Practice Address - Country:US
Practice Address - Phone:949-764-6954
Practice Address - Fax:949-764-5674
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2025-09-19
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Provider Licenses
StateLicense IDTaxonomies
CAA182469207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology