person
Dr. Vijayakumar Tanjavur, MD
Student in an Organized Health Care Education/Training Program in Monroe, Louisiana
NPI 1417290065

Vijayakumar Tanjavur is a Student in an Organized Health Care Education/Training Program based in Monroe, LA. Vijayakumar Tanjavur practices in Monroe, LA and has the professional credentials of MD. The NPI Number for Vijayakumar Tanjavur is 1417290065 and holds a License No. 324586 (Louisiana).

The current practice location address for Vijayakumar Tanjavur is 500 Hart St, Monroe, LA and can be reached out via phone at 318-966-8300 and via fax at 318-322-6530. You can also correspond with Vijayakumar Tanjavur through the mailing address at 500 HART ST, MONROE, LA - 71201-7504 (mailing address contact number: 318-966-8300).

Location: 500 Hart St, Monroe, LA, 71201-7504
person
Provider Profile Details
NPI Number
1417290065
Provider Name
Vijayakumar Tanjavur
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Hart St, Monroe, LA, 71201-7504
Phone Number
318-966-8300
Fax Number
318-322-6530
Provider Enumeration Date
04/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
296652 01 NY STATE LICENSE
324586 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
500 Hart St
City
State
Zip
71201-7504
Phone Number
318-966-8300
Fax Number
318-322-6530
person
Provider Business Mailing Address Details
Address
500 Hart St
City
State
Zip
71201-7504
Phone Number
318-966-8300
Fax Number
318-322-6530
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
296652 (Louisiana)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
324586 (Louisiana)
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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