Organization
VIJAY SHANMUGAM M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALAVIKA VIJAY (OFFICE MANAGER)
(661) 726-9220
Entity
Organization
Contact information
Practice address
44215 N 15TH ST WEST, STE 204, LANCASTER, CA 93534-5504
(661) 726-9220
(661) 726-0240
Mailing address
44215 N 15TH ST WEST, STE 204, LANCASTER, CA 93534-5504
(661) 726-9220
(661) 726-0240
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A66787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A667870
—
CA
Enumeration date
07/18/2015
Last updated
08/13/2015
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