Sandeep Suresh Vijan MBBS

NPI 1730220278 - Surgery - 208600000X

NPI Details
NPI 1730220278
Gender Male
Enumeration Date 02/09/2007
Last Updated 07/19/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1600 NORTH GRAND AVE. SUITE 430
PUEBLO CO, 81003-2760, US
Phone (719) 545-8240
Fax (719) 545-4319
Business Location
1600 N GRAND AVE STE 430
PUEBLO CO, 81003-2760, US
Phone (719) 545-8240
Fax (719) 545-4319
Toxanomy
Taxonomy Code 208600000X
License State Colorado
License Number 48414
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According to our database, Sandeep Suresh Vijan MBBS NPI is 1730220278, taxonomy code is 208600000X and license number is 48414, license state is located at Colorado. Sandeep Suresh Vijan MBBS physically located at 1600 North Grand Ave. Suite 430, Pueblo CO, 81003-2760. NPI Number Sandeep Suresh Vijan MBBS has the Individual type.

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1730220278 NPI number is provided on an as is basis without warranty of any kind. 1730220278 is maintained by the National Plan & Provider Enumeration System. The contents of Sandeep Suresh Vijan MBBS are for informational purposes only.