Individual
VIJI MURUGAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26948
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
458134
—
AZ
01
—
458134002
APIPA
AZ
01
—
5709935
MEDICAL
AR
01
—
AZ0758340
BCBS
AZ
Enumeration date
11/08/2005
Last updated
02/24/2012
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