Individual
VIJAY K KAJLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 595-2000
(508) 853-7149
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 595-2000
(508) 853-7149
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
209272
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140481
HEALTHY START
—
05
—
0140481
—
MA
01
—
0402313
EVERCARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
1574863
CIGNA HEALTH PLAN
—
01
—
1601039
FIRST HEALTH
—
01
—
380001633
RAILROAD MEDICARE
—
01
—
49277
FALLON COMMUNITY HEALTH
—
01
—
5603502
AETNA US HEALTHCARE
—
01
—
784034
MVP HEALTH CARE
—
01
—
A32547
MEDICARE B
—
01
—
AA5966
HARVARD PILGRIM HEALTHCAR
—
01
—
J23372
BLUE SHIELD HMO BLUE
—
01
—
J23373
BLUE SHIELD INDEMNITY
—
Enumeration date
11/18/2005
Last updated
02/16/2009
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