Gandham, Vijaya
Gandham, Vijaya is an individual health care provider with primary practice located at 813 Saratoga Rd Rte 50, Burnt Hills NY 12027-9568. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gandham, Vijaya can be contacted via phone (518) 384-5683.Contact Information
Primary practice address
813 Saratoga Rd Rte 50
Burnt Hills NY 12027-9568
Phone: (518) 384-5683
Fax: (518) 384-3361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2100491 | New York |
Profile Details
| NPI number | 1194709899 |
|---|---|
| LBN Legal business name | Gandham, Vijaya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Apr 25th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194709899 | NPPES |
| New York | MEDICAID | 00628079 |
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