Thandra, Vijaya Rao

Thandra, Vijaya Rao is an individual health care provider with primary practice located at 2607 River Run Rd , Missouri City TX 77459-7264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thandra, Vijaya Rao can be contacted via phone (248) 981-7139.

Contact Information

Primary practice address
2607 River Run Rd Missouri City TX 77459-7264
Phone: (248) 981-7139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q5936 Texas

Profile Details

NPI number 1871565200
LBN Legal business name Thandra, Vijaya Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jul 19th, 2016 - about 10 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 1871565200 NPPES
Michigan Other 0808262241 BLUCROSS BLUSHIELD
Michigan MEDICAID 4326290-10 BLUCROSS BLUSHIELD

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