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SUDHA VIJAYKUMAR MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1669695912

Individual Registrant:
 SUDHA  VIJAYKUMAR MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9320A ROOSEVELT AVE 2ND FL JACKSON HTS, NY 11372 US
Tel: 718-334-6700  Fax: 718-334-6701

Contact information for business:
9320A ROOSEVELT AVE 2ND FL JACKSON HEIGHTS, NY 11372 US
Tel: 718-334-6793  Fax: 718-334-6717

Registration Information:
NPI: 1669695912
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
NY217986

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
02133099NY05




HEALTH CARE JOBS NY - Page 1



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