Individual
DR. VIJAYA B. NALLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
(507) 372-3806
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600920400
—
MN
Enumeration date
07/01/2005
Last updated
12/20/2021
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