Individual
VIJAY DIVAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0200
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
M7150
TX
207RI0011X
Interventional Cardiology Physician
Primary
M7150
TX
Other
Enumeration date
10/24/2008
Last updated
01/11/2021
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