Individual
DR. MADHU B VIJAYAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8984 SW 64TH LN, GAINESVILLE, FL 32608-8562
(617) 304-5318
Mailing address
1702 UNIVERSITY DR S, SSC - MEDICAL STAFF SERVICES, FARGO, ND 58103-4940
(701) 364-8177
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
45967
AL
2084V0102X
Vascular Neurology Physician
13954
ND
Other
Enumeration date
06/04/2007
Last updated
11/02/2023
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