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NPI Code Detail

MEDICARE: ASHVIN VIJAYAKUMAR MD

MEDICARE: ASHVIN VIJAYAKUMAR 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
1207R00000XInternal Medicine Physician25MA10153300NJ
2208M00000XHospitalist Physician25MA10153300NJ
3207R00000XInternal Medicine PhysicianMD467409PA

General Provider Information

NPI Number : 1659782464
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHVIN VIJAYAKUMAR MD
Provider Business Mailing Address
First Line : 2418 E YORK ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-3006
Country : US
Telephone Number : 267-360-7927
Fax Number : 215-267-9781
Provider Business Practice Location Address
First Line : 2418 E YORK ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-3006
Country : US
Telephone Number : 267-360-7927
Fax Number : 215-267-9781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 01/04/2025

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