Dave, Vijay

Dave, Vijay is an individual health care provider with primary practice located at 200 E 86Th Pl , Merrillville IN 46410-6258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dave, Vijay can be contacted via phone (219) 756-1400.

Contact Information

Primary practice address
200 E 86Th Pl Merrillville IN 46410-6258
Fax: (219) 756-0876
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01026051 Indiana

Profile Details

NPI number 1316933443
LBN Legal business name Dave, Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 8th, 2009 - about 16 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 1316933443 NPPES
Indiana MEDICAID 100167650

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