Samuel, Vijaya P
Samuel, Vijaya P is an individual health care provider with primary practice located at 10601 Quivira Rd Suite 200, Overland Park KS 66215-2310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Samuel, Vijaya P can be contacted via phone (913) 541-3340.Contact Information
Primary practice address
10601 Quivira Rd Suite 200
Overland Park KS 66215-2310
Phone: (913) 541-3340
Fax: (913) 492-7857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-29522 | Kansas |
Profile Details
| NPI number | 1104810803 |
|---|---|
| LBN Legal business name | Samuel, Vijaya P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Oct 5th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104810803 | NPPES |
| Missouri | MEDICAID | 1104810803 | |
| Missouri | Other | 04-29522 | |
| Missouri | MEDICAID | 100425510C |
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