Individual
DR. ANITHA VIJAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5169 S COTTONWOOD ST STE 320, MURRAY, UT 84107-6768
(801) 507-2531
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
111039
MO
207RN0300X
Nephrology Physician
Primary
13327659-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204019608
—
MO
Enumeration date
07/14/2006
Last updated
10/19/2023
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