Mahajan, Vipul

Mahajan, Vipul is an sole proprietor health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mahajan, Vipul can be contacted via phone (541) 732-5545.

Contact Information

Primary practice address
1111 Crater Lake Ave Medford OR 97504-6241
Phone: (541) 732-5545
Fax: (541) 732-5548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD177085 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD177085 Oregon

Profile Details

NPI number 1467795864
LBN Legal business name Mahajan, Vipul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2013
Last updated Mar 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467795864 NPPES
Oregon MEDICAID 500710574

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