DR. VIJAYAKUMAR TANJAVUR M.D. NPI 1417290065

NPI Information

NPI: 1417290065
Provider Name: DR. VIJAYAKUMAR TANJAVUR, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
500 HART ST
MONROE, LA
ZIP 71201
Phone: (318) 966-8300
Get Directions

DR. Vijayakumar Tanjavur, M.D. is a vascular surgery surgery in Monroe, LA with 23 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Vijayakumar Tanjavur, M.D. NPI is 1417290065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 HART ST
MONROE, LA
ZIP 71201-504
Phone: (318) 966-8300
Fax: (318) 322-6530

The NPI 1417290065 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2013 and was last updated on 5/5/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	324586	LOUISIANA	Yes
2	2086S0129X	Surgery	Vascular Surgery	296652	LOUISIANA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	324586	OTHER	LOUISIANA	STATE LICENSE
2	296652	OTHER	NEW YORK	STATE LICENSE

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

NPI Synchronization or Removal

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