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NPI Code Detail

MEDICARE: MAMTA VED VIJAYVARGIYA MD

MEDICARE:   MAMTA VED VIJAYVARGIYA  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
1207RH0003XHematology & Oncology PhysicianME83720FL

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 : 1598733685
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAMTA VED VIJAYVARGIYA MD
Provider Business Mailing Address
First Line : 770 W GRANADA BLVD STE 101
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5179
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1061 MEDICAL CENTER DR STE 110
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8225
Country : US
Telephone Number : 386-917-7594
Fax Number : 386-456-3257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 08/08/2025

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Directions to “ MAMTA VED VIJAYVARGIYA MD” Practice Location

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