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VIJAY SHANMUGAM M D INC NPI 1255715397


NPI Information

NPI: 1255715397
Provider Name: VIJAY SHANMUGAM M D INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
44215 N 15TH ST WEST
STE 204
LANCASTER, CA
ZIP 93534
Phone: (661) 726-9220
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VIJAY SHANMUGAM M D INC is a neurology psychiatry neurology in Lancaster, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. VIJAY SHANMUGAM M D INC NPI is 1255715397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44215 N 15TH ST WEST
STE 204
LANCASTER, CA
ZIP 93534-504
Phone: (661) 726-9220
Fax: (661) 726-0240

The provider's authorized official is Malavika Vijay .
The authorized official title is Office Manager and has the following contact phone number (661) 726-9220.

The enumeration date for this NPI number is 7/18/2015 and was last updated on 8/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyA66787CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A667870MEDICAIDCALIFORNIA
2A66787MEDICARE PINCALIFORNIA
3G80772MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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