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NPI Code Detail

MEDICARE: DR. VIJAY GANDHI LINGA M.D.

MEDICARE: DR. VIJAY GANDHI LINGA 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
1208000000XPediatrics PhysicianMD2019-0052NM
2208000000XPediatrics PhysicianC196057CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP1-0056068OTHERTXTEXAS MEDICAL BOARD

General Provider Information

NPI Number : 1922459031
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIJAY GANDHI LINGA M.D.
Provider Business Mailing Address
First Line : PO BOX AD
Second Line :
City : YUBA CITY
State : CA
Zip : 95992-1396
Country : US
Telephone Number : 530-671-8820
Fax Number : 530-671-8410
Provider Business Practice Location Address
First Line : 931 MARKET ST
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-4210
Country : US
Telephone Number : 530-671-8820
Fax Number : 530-671-8410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2016
Last Update Date : 11/20/2024

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