Pottathil, Vijay Raveendran
Pottathil, Vijay Raveendran is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Pottathil, Vijay Raveendran can be contacted via phone (650) 723-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39494 | Iowa |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD-39493 | Iowa |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 39493 | Iowa |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A147576 | California |
Profile Details
| NPI number | 1053546945 |
|---|---|
| LBN Legal business name | Pottathil, Vijay Raveendran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2009 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1053546945 | NPPES |
| Iowa | MEDICAID | 1053546945 |
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