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Individual

DR. VIJAY JETHANANDANI

Active
Find providers by NPI
Individual

DR. VIJAY JETHANANDANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
128480
CA
2084P0800X
Psychiatry Physician
MD19665
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932187143
NPI
TN
01
—
26001117
RAILROAD MEDICARE
TN
05
—
3043268
—
TN
01
—
4005548
BLUE BLUE CROSS
TN
Enumeration date
01/06/2006
Last updated
04/08/2021
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