Individual
MEENAKSHI VIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3175
Mailing address
1735 YORK AVE APT 15B, NEW YORK, NY 10128-6858
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
053914
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
307517-01
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME108753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615008625B
—
GA
01
—
P00287040
RAILROAD MEDICARE
GA
Enumeration date
02/27/2006
Last updated
02/18/2026
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