Vijayan, Anitha
Vijayan, Anitha is an individual health care provider with primary practice located at 5169 S Cottonwood St Ste 320 , Murray UT 84107-6768. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Vijayan, Anitha can be contacted via phone (801) 507-2531.Contact Information
Primary practice address
5169 S Cottonwood St Ste 320
Murray UT 84107-6768
Phone: (801) 507-2531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 111039 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 13327659-1205 | Utah |
Profile Details
| NPI number | 1194741405 |
|---|---|
| LBN Legal business name | Vijayan, Anitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Oct 19th, 2023 - about last year |
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 | 1194741405 | NPPES |
| Missouri | MEDICAID | 204019608 |
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