Vijaykumar, Sudha

Vijaykumar, Sudha is an individual health care provider with primary practice located at 9320A Roosevelt Ave 2Nd Fl, Jackson Hts NY 11372. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vijaykumar, Sudha can be contacted via phone (718) 334-6700.

Contact Information

Primary practice address
9320A Roosevelt Ave 2Nd Fl Jackson Hts NY 11372
Phone: (718) 334-6700
Fax: (718) 334-6701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 217986 New York

Profile Details

NPI number 1669695912
LBN Legal business name Vijaykumar, Sudha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Apr 25th, 2012 - about 13 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 1669695912 NPPES
New York MEDICAID 02133099

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