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Vijaya Shastri, MD
Adolescent Medicine (Internal Medicine) Physician in Saint Joseph, Michigan
NPI 1245299502

Vijaya Shastri is an Adolescent Medicine (Internal Medicine) Physician based in Saint Joseph, MI and is specialized in Adolescent Medicine. Vijaya Shastri practices in Saint Joseph, MI and has the professional credentials of MD. The NPI Number for Vijaya Shastri is 1245299502 and holds a License No. VS040679 (Michigan).

The current practice location address for Vijaya Shastri is 3950 Hollywood Rd, Saint Joseph, MI and can be reached out via phone at 269-983-3386 and via fax at 269-983-7943.

Location: 3950 Hollywood Rd, Saint Joseph, MI, 49085-9159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245299502
Provider Name
Vijaya Shastri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3950 Hollywood Rd, Saint Joseph, MI, 49085-9159
Phone Number
269-983-3386
Fax Number
269-983-7943
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370016279 01 MI RAIL ROAD MEDICARE
0A110280 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
3950 Hollywood Rd
City
Saint Joseph
State
Michigan
Zip
49085-9159
Phone Number
269-983-3386
Fax Number
269-983-7943
person
Provider Business Mailing Address Details
Address
3950 Hollywood Rd
City
Saint Joseph
State
Michigan
Zip
49085-9159
Phone Number
269-983-3386
Fax Number
269-983-7943
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Adolescent Medicine
Taxonomy
207RA0000X
License No.
VS040679 (Michigan)
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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