Individual
VIJAYALAKSHMI SELVARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
851 EVANS CITY RD, RENFREW, PA 16053-9207
(724) 789-9950
(724) 789-9958
Mailing address
851 EVANS CITY RD, RENFREW, PA 16053-9207
(724) 789-9950
(724) 789-9958
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD028373E
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015452650004
—
PA
Enumeration date
06/04/2006
Last updated
06/13/2011
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