Individual
DR. VIJAY BHASKAR REDDY GAYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2708 S RIFE MEDICAL LN STE 300, ROGERS, AR 72758-1457
(479) 338-3030
(479) 338-3079
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 338-3030
(479) 338-3079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
281594
NY
207RG0100X
Gastroenterology Physician
Primary
E-19843
AR
207RG0100X
Gastroenterology Physician
U9254
TX
Other
Enumeration date
08/31/2012
Last updated
11/25/2025
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