MEDICARE: NEERAJ VIJ MD PLLC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1023283892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEERAJ VIJ MD PLLC

Provider Business Mailing Address
First Line	:	PO BOX 20490
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85277-0490
Country	:	US
Telephone Number	:	480-985-1093
Fax Number	:

Provider Business Practice Location Address
First Line	:	3636 E SHOMI ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-3854
Country	:	US
Telephone Number	:	480-985-1093
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NEERAJ VIJ
Credential	:	MD
Telephone Number	:	480-985-1093

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	04/23/2008

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