Individual provider · Type 1 NPI

Vijay Mysore Ravindra, MD

Neurological Surgery Physician · Salt Lake City, UT

NPI number 1982995841 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 7910 Frost St Ste 120, San Diego, CA 92123-2776 · (858) 966-8574
  • 34800 Bob Wilson Dr, San Diego, CA 92134-1098 · (619) 532-6400

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XA161999 (CA)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1982995841

Vijay Mysore Ravindra, MD's National Provider Identifier is 1982995841, issued on Apr 27, 2011. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 9, 2026.