# DR. VIJAYAKUMAR TANJAVUR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417290065
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 296652 | LA | — |
| 2086S0129X | Vascular Surgery Physician | 324586 | LA | — |
| 2086S0129X | Vascular Surgery Physician | ME164506 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/02/2013
- **Last updated:** 04/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 126260100 | — | FL |
| 01 | — | 296652 | STATE LICENSE | NY |
| 01 | — | 324586 | STATE LICENSE | LA |