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NPI Code Detail

MEDICARE: SANDEEP VIJAY MD LTD

MEDICARE: SANDEEP VIJAY MD LTD
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11538202536OTHERNPI INDIVIDUAL
21033252036OTHERNPI GROUP

General Provider Information

NPI Number : 1033252036
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDEEP VIJAY MD LTD
Provider Business Mailing Address
First Line : 2251 N RAMPART BLVD
Second Line : SUITE 127
City : LAS VEGAS
State : NV
Zip : 89128-7640
Country : US
Telephone Number : 702-388-1300
Fax Number : 702-254-5631
Provider Business Practice Location Address
First Line : 2251 N RAMPART BLVD
Second Line : SUITE 127
City : LAS VEGAS
State : NV
Zip : 89128-7640
Country : US
Telephone Number : 702-256-3637
Fax Number : 702-254-5631
Authorized Official
Title or Position : PRESIDENT
Name : SANDEEP VIJAY
Credential : MD
Telephone Number : 702-256-3637
Provider Enumeration Date : 02/15/2007
Last Update Date : 02/26/2021

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Directions to “SANDEEP VIJAY MD LTD ” Practice Location

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