person
Vijai Kumar Dorairaj Dharla JR.
Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana
NPI 1336842335

Vijai Kumar Dorairaj Dharla JR. is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. Vijai Kumar Dorairaj Dharla JR. practices in Indianapolis, IN. The NPI Number for Vijai Kumar Dorairaj Dharla JR. is 1336842335 and holds a License No. 11022870A (Indiana).

The current practice location address for Vijai Kumar Dorairaj Dharla JR. is 7165 Clearvista Way, Indianapolis, IN and can be reached out via phone at 317-621-5700.

Location: 7165 Clearvista Way, Indianapolis, IN, 46256-4621
person
Provider Profile Details
NPI Number
1336842335
Provider Name
Vijai Kumar Dorairaj Dharla JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
7165 Clearvista Way, Indianapolis, IN, 46256-4621
Phone Number
317-621-5700
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300075620 05 IN
institution
Provider Business Practice Location Address Details
Address
7165 Clearvista Way
City
State
Zip
46256-4621
Phone Number
317-621-5700
Fax Number
person
Provider Business Mailing Address Details
Address
7165 Clearvista Way
City
State
Zip
46256-4621
Phone Number
317-621-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
11022870A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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