MEDICARE: MR. SREEJITH VIJAYAKUMAR M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1376335406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SREEJITH VIJAYAKUMAR M.D.

Provider Business Mailing Address
First Line	:	2213 CHERRY ST MERCY ST VINCENT MEDICAL CENTER
Second Line	:	INTERNAL MEDICINE RESIDENCY OFFICES
City	:	TOLEDO
State	:	OH
Zip	:	43608
Country	:	US
Telephone Number	:	419-251-4744
Fax Number	:	419-251-6795

Provider Business Practice Location Address
First Line	:	2213 FRANKLIN AVE
Second Line	:	MERCY FAMILY CARE CENTER
City	:	TOLEDO
State	:	OH
Zip	:	43620
Country	:	US
Telephone Number	:	419-251-2360
Fax Number	:	419-251-2393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	03/03/2026

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