Basic Information
| Provider Information | |||||||||
| NPI: | 1881827053 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VIJAYKUMAR | ||||||||
| FirstName: | SHALINI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21 INDUSTRIAL BLVD 100 | ||||||||
| Address2: | |||||||||
| City: | PAOLI | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193011610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102510303 | ||||||||
| FaxNumber: | 6102510304 | ||||||||
| Practice Location | |||||||||
| Address1: | 575 COAL VALLEY RD | ||||||||
| Address2: | SUITE 573 | ||||||||
| City: | JEFFERSON HILLS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150253730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124693300 | ||||||||
| FaxNumber: | 4124697226 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2009 | ||||||||
| LastUpdateDate: | 07/14/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | MD445111 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.