Individual
MS. MYSORE VIJAYENDRA MAITRI
Active
Individual
MS. MYSORE VIJAYENDRA MAITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101250502
VA
207R00000X
Internal Medicine Physician
223454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02217265
—
NY
Enumeration date
10/25/2006
Last updated
10/24/2021
Update your record
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