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Individual
DR. VIJAYA THAKUR
Active
Individual
DR. VIJAYA THAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
A79868
CA
207R00000X
Internal Medicine Physician
A79868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A798680
—
CA
01
—
05773734
ECFMG NUMBER
—
Enumeration date
05/25/2006
Last updated
02/25/2025
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