Individual
MR. VIJAY SOPREY
Active
Individual
MR. VIJAY SOPREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
961845
MD
363AM0700X
Medical Physician Assistant
Primary
D70201
MD
Other
Enumeration date
08/28/2007
Last updated
05/19/2010
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