Vijayaraman, Pugazhendhi

Vijayaraman, Pugazhendhi is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Vijayaraman, Pugazhendhi can be contacted via phone (570) 820-6020.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Phone: (570) 820-6020
Fax: (570) 821-2306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD427137 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD427137 Pennsylvania

Profile Details

NPI number 1669422184
LBN Legal business name Vijayaraman, Pugazhendhi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 10th, 2020 - about 5 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 1669422184 NPPES
Pennsylvania MEDICAID 101343914

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