Vijayanathan, Thurairasah

Vijayanathan, Thurairasah is an individual health care provider with primary practice located at 6416 Bergenline Ave , West New York NJ 07093-1621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vijayanathan, Thurairasah can be contacted via phone (201) 295-1099.

Contact Information

Primary practice address
6416 Bergenline Ave West New York NJ 07093-1621
Phone: (201) 295-1099
Fax: (201) 295-1035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA26891 New Jersey

Profile Details

NPI number 1205808813
LBN Legal business name Vijayanathan, Thurairasah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 7th, 2023 - about 2 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 1205808813 NPPES
New Jersey MEDICAID 1293001

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