Achanti, Vijaya

Achanti, Vijaya is an individual health care provider with primary practice located at 20800 Westgate Mall #400, Fairview Park OH 44126-1323. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Achanti, Vijaya can be contacted via phone (440) 356-2272.

Contact Information

Primary practice address
20800 Westgate Mall #400 Fairview Park OH 44126-1323
Fax: (440) 356-2299
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35054422 Ohio

Profile Details

NPI number 1982637906
LBN Legal business name Achanti, Vijaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982637906 NPPES
Ohio MEDICAID 0736234

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