Individual
DR. RAGHAVENDRA R VIJAYANAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 TAMPA GENERAL CIR STE 855, TAMPA, FL 33606-3601
(813) 251-8600
(813) 251-8677
Mailing address
5 TAMPA GENERAL CIR STE 855, TAMPA, FL 33606-3601
(813) 251-8600
(813) 251-8677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0021413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055937700
—
FL
Enumeration date
11/09/2005
Last updated
04/26/2026
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