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NPI Code Detail

MEDICARE: DR. BRENDA P VIEGAS M.D.

MEDICARE:  DR. BRENDA P VIEGAS  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 Physician01026623AIN

General Provider Information

NPI Number : 1952357667
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENDA P VIEGAS M.D.
Provider Business Mailing Address
First Line : 360 S MADISON AVE
Second Line : # 210
City : GREENWOOD
State : IN
Zip : 46142-3150
Country : US
Telephone Number : 317-881-3232
Fax Number : 317-881-3796
Provider Business Practice Location Address
First Line : 360 S MADISON AVE
Second Line : # 210
City : GREENWOOD
State : IN
Zip : 46142-3150
Country : US
Telephone Number : 317-881-3232
Fax Number : 317-881-3796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 02/08/2011

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Directions to “ DR. BRENDA P VIEGAS M.D.” Practice Location

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