Alla, Vijayakumar

Alla, Vijayakumar is an sole proprietor health care provider with primary practice located at 2802 Crescent St , Astoria NY 11102-3141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Alla, Vijayakumar can be contacted via phone (718) 278-6666.

Contact Information

Primary practice address
2802 Crescent St Astoria NY 11102-3141
Phone: (718) 278-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 211067 New York

Profile Details

NPI number 1598748592
LBN Legal business name Alla, Vijayakumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Jun 26th, 2020 - about 4 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 1598748592 NPPES
New York MEDICAID 01914447

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