Individual provider · Type 1 NPI

Vijayanth Kanagaraju, MD

Student in an Organized Health Care Education/Training Program · Elmhurst, NY

NPI number 1386413193 Active

Practice location

7901 Broadway # D4-44
Elmhurst, NY 11373-1329

Call (718) 334-3378 Map

Mailing address

7901 Broadway # 44
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1386413193

Vijayanth Kanagaraju, MD's National Provider Identifier is 1386413193, issued on Dec 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elmhurst, NY. The record was last updated on Dec 21, 2023.