Healthcare Provider Details

I. General information

NPI: 1215861786
Provider Name (Legal Business Name): VIJAY SENATHIPATHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HCA FLORIDA CAPITAL HOSPITAL, 2626 CAPITAL MEDICAL BLVD
TALLAHASSEE FL
32308
US

IV. Provider business mailing address

HCA FLORIDA CAPITAL HOSPITAL, 2626 CAPITAL MEDICAL BLVD
TALLAHASSEE FL
32308
US

V. Phone/Fax

Practice location:
  • Phone: 850-325-5932
  • Fax:
Mailing address:
  • Phone: 850-325-5932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: