Vijayasekaran, Sridhar
Vijayasekaran, Sridhar is an individual health care provider with primary practice located at 3640 Nw Samaritan Dr Ste 100 , Corvallis OR 97330-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Vijayasekaran, Sridhar can be contacted via phone (541) 768-5205.Contact Information
Primary practice address
3640 Nw Samaritan Dr Ste 100
Corvallis OR 97330-3738
Phone: (541) 768-5205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD159037 | Oregon |
Profile Details
| NPI number | 1093762247 |
|---|---|
| LBN Legal business name | Vijayasekaran, Sridhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Mar 23rd, 2022 - about 3 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 | 1093762247 | NPPES |
| Oregon | MEDICAID | 500648303 |
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