Doctor profile · Federal record
Dr. Vijay Sam Nethala, M.B.B.S
Student in an Organized Health Care Education/Training Program · Tucson, AZ
- NPI 1093493355
- 3 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6200 N la Cholla Blvd
Tucson, AZ 857413529
(575) 386-9110 - Additional location
-
1551 E Tangerine RD
Oro Valley, AZ 857556213 - Mailing address
-
8323 N Shannon RD
Tucson, AZ 857429597
Credentials & registration
- NPI registered
- July 2023 — 3 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
- State license (1)
- Arizona #R80442
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093493355. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$367
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $141.62 | |
| Silk Road Medical, Inc. | 1 | $125.50 | |
| Penumbra, Inc. | 1 | $56.92 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $43.32 |
By nature of payment
Frequently asked questions
What is Dr. Vijay Sam Nethala's medical specialty?
Dr. Vijay Sam Nethala practices Student in an Organized Health Care Education/Training Program in Tucson, AZ.
Where does Dr. Vijay Sam Nethala practice?
Dr. Vijay Sam Nethala practices at 6200 N la Cholla Blvd, Tucson, AZ 857413529. Office phone: 5753869110.
What is Dr. Vijay Sam Nethala's NPI?
Dr. Vijay Sam Nethala's National Provider Identifier (NPI) is 1093493355, issued by NPPES.