Divya Goutam Vijendra in Bryan - Internal Medicine
Divya Goutam Vijendra - NPI 1164502373
Divya Goutam Vijendra is a Internal Medicine in Bryan, Ohio. Divya Goutam Vijendra practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Divya Goutam Vijendra is 1164502373. The last update date is 2020-08-20.
Divya Goutam Vijendra's current location address is 433 W High St, Bryan, Ohio. You can contact this provider via phone number 4196361131 and fax number 4196363100. The mailing address for Divya Goutam Vijendra is 433 W High St, Bryan, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Divya Goutam Vijendra |
|---|---|
| Address | 433 W High St, Bryan, Ohio |
| Phone Number | 4196361131 |
| Fax Number | 4196363100 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164502373 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2020-08-20 |
Provider Mailing Address Detail
| Address | 433 W High St |
|---|---|
| City | Bryan |
| State | Ohio (OH) |
| Post Code | 435061690 |
| Phone Number | 4196361131 |
| Fax Number | 4196363100 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 35-084674 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2491683 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Divya Goutam Vijendra by the Centers for Medicare & Medicaid Services?
The Divya Goutam Vijendra has been assigned the NPI (National Provider Identifier) 1164502373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Divya Goutam Vijendra is physically located?
The Divya Goutam Vijendra is physically situated at the following address: 433 W High St, Bryan, OH, 435061690.
What is Divya Goutam Vijendra's specialized field of practice, and what is the corresponding taxonomy classification code?
The Divya Goutam Vijendra's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When did Divya Goutam Vijendra receive its 1164502373 assignment?
The Divya Goutam Vijendra was assigned its 1164502373 on 2006-10-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Divya Goutam Vijendra most recently updated?
The details pertaining to the Divya Goutam Vijendra, including its address, specialty, and other relevant information, were last refreshed on 2020-08-20.
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