- Practice location
- 113 Holland Ave, Albany, NY 12208-3410
- Phone
- 518-626-5000
- Fax
- —
- Last updated
- April 26, 2022
Vijaya Ajjagottu is an Internal Medicine based in Albany, NY. Vijaya Ajjagottu practices in Albany, NY. The NPI Number for Vijaya Ajjagottu is 1558467266 and holds a License No. 041034 (CT). The current practice location address for Vijaya Ajjagottu is 113 Holland Ave, Albany, NY 12208-3410 and can be reached out via phone at 518-626-5000.
Provider Profile Details
- NPI Number
- 1558467266
- Provider Name
- Vijaya Ajjagottu
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 113 Holland Ave, Albany, NY 12208-3410
- Phone Number
- 518-626-5000
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 16, 2006
- Last Update Date
- April 26, 2022
- Certification Date
- April 26, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 113 Holland Ave
Albany, NY 12208-3410 - City
- Albany
- State
- New York
- Zip
- 12208-3410
- Phone Number
- 518-626-5000
Provider Business Mailing Address Details
- Address
- 251 Trinity Ave
Glastonbury, CT 06033-1339 - City
- Glastonbury
- State
- CT
- Zip
- 06033-1339
- Phone Number
- 860-997-5225
License Information
- License Number
- 041034
- License State
- CT
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Albany, NY
View all Internal Medicine providers in Albany →Frequently Asked Questions
What is the NPI number of Vijaya Ajjagottu?
The NPI number of Vijaya Ajjagottu is 1558467266. It was assigned on September 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Vijaya Ajjagottu?
Vijaya Ajjagottu is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 041034.
Where does Vijaya Ajjagottu practice?
The practice location is 113 Holland Ave, Albany, NY 12208-3410. The office can be reached at 518-626-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558467266 directly on the NPPES registry website.