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NPI Code Detail

MEDICARE: HAROHALLI RAMAKRISHNAN VIJAYAKUMAR MD

MEDICARE: HAROHALLI RAMAKRISHNAN VIJAYAKUMAR 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
1207L00000XAnesthesiology Physician71491MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3050034799OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1733647OTHERTUFT
2J09189OTHERMASS. BCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457351942
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROHALLI RAMAKRISHNAN VIJAYAKUMAR MD
Provider Business Mailing Address
First Line : 60 EAST ST
Second Line : SUITE 1400
City : METHUEN
State : MA
Zip : 01844-4500
Country : US
Telephone Number : 978-689-4601
Fax Number : 978-689-3096
Provider Business Practice Location Address
First Line : 295 VARNUM AVE
Second Line : 295 VARNUM AVE
City : LOWELL
State : MA
Zip : 01854-2193
Country : US
Telephone Number : 978-937-6235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 08/02/2013

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