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Individual

MR. VIJAYKUMAR LINGEGOWDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1200 EAST 3900 S, SUITE 4B, SALT LAKE CITY, UT 84124
(866) 500-7071
(866) 500-7081
Mailing address
PO BOX 1249, BOUNTIFUL, UT 84011-1249
(801) 673-7661
(801) 951-2389

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
10842
NV
208M00000X
Hospitalist Physician
10842
NV
208M00000X
Hospitalist Physician
Primary
7792753-1205
UT
208M00000X
Hospitalist Physician
MD2018-0900
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100503526
NV
05
468247
AZ
Enumeration date
08/12/2005
Last updated
05/16/2024
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