Nama, Vijaya

Nama, Vijaya is an individual health care provider with primary practice located at 5115 N Galloway Ave Ste 304 , Mesquite TX 75150-7535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nama, Vijaya can be contacted via phone (972) 303-3000.

Contact Information

Primary practice address
5115 N Galloway Ave Ste 304 Mesquite TX 75150-7535
Phone: (972) 303-3000
Fax: (972) 613-2726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036098837 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7821 Texas

Profile Details

NPI number 1306829791
LBN Legal business name Nama, Vijaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jan 25th, 2012 - about 12 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 1306829791 NPPES
Texas MEDICAID 171109502
Texas Other 0072NK
Texas MEDICAID 036098837

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