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NPI Code Detail

MEDICARE: DR. SOUMYA VIJAYALEKSHMY MD

MEDICARE:  DR. SOUMYA  VIJAYALEKSHMY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA11036400NJ
2207R00000XInternal Medicine PhysicianMD492502CPA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1023505997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOUMYA VIJAYALEKSHMY MD
Provider Business Mailing Address
First Line : 1 N WHITE HORSE PIKE
Second Line :
City : HAMMONTON
State : NJ
Zip : 08037-1875
Country : US
Telephone Number : 609-567-0200
Fax Number : 609-567-1169
Provider Business Practice Location Address
First Line : 3003 ENGLISH CREEK AVE STE C6
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-4818
Country : US
Telephone Number : 609-481-3185
Fax Number : 609-569-0104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 02/09/2026

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