SANJEEVI VRIDHACHALAM MD NPI 1598754459

NPI Information

Sanjeevi Vridhachalam, MD is a diagnostic radiology radiology in San Diego, CA with 25 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Sanjeevi Vridhachalam, MD NPI is 1598754459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1999

The provider's business location address is:

4330 LA JOLLA VILLAGE DRIVE
SUITE 250
SAN DIEGO, CA
ZIP 92122
Phone: (858) 546-3800
Fax: (858) 546-3900

The NPI 1598754459 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 10/13/2005 and was last updated on 10/7/2008.

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:

Other Identifiers

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

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