# PUVALAI VIJAYKUMAR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629066386
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 18484 | WV | — |
| 207RC0000X | Cardiovascular Disease Physician | 35071686V | OH | — |
| 207RC0000X | Cardiovascular Disease Physician | MD041441E | PA | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 084192 | GA | Yes |

## Other

- **Enumeration date:** 10/07/2005
- **Last updated:** 01/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011803240001 | — | PA |
| 05 | — | 0011803240008 | — | PA |
| 05 | — | 0086343000 | — | WV |
| 05 | — | 0188229 | — | OH |