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Individual

NAVEEN K VIJAYAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(377) 621-3109
(937) 522-8068

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.016278
OH
207R00000X
Internal Medicine Physician
STUDENT
MI
208M00000X
Hospitalist Physician
Primary
34.016278
OH

Other

Enumeration date
03/27/2020
Last updated
01/25/2024
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