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NPI Code Detail

MEDICARE: SANTHOSH VIJAYANATHAN

MEDICARE: SANTHOSH VIJAYANATHAN
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
13747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053028001
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTHOSH VIJAYANATHAN
Provider Business Mailing Address
First Line : 5858 S PECOS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-5404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5858 S PECOS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-5404
Country : US
Telephone Number : 925-457-6744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2022
Last Update Date : 10/31/2022

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Directions to “ SANTHOSH VIJAYANATHAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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