Venugopal, Vijay

Venugopal, Vijay is an individual health care provider with primary practice located at 1611 Cambridge St , Cambridge MA 02138-4302. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Venugopal, Vijay can be contacted via phone (617) 661-5500.

Contact Information

Primary practice address
1611 Cambridge St Cambridge MA 02138-4302
Phone: (617) 661-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62996 Minnesota

Profile Details

NPI number 1568844314
LBN Legal business name Venugopal, Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2015
Last updated Feb 15th, 2024 - about last year

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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