Organization
VIJAYALAKSHMI SELVARAJ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORA K SAFRANEK (OFFICE MANAGER)
(724) 789-9957
Entity
Organization
Contact information
Practice address
851 EVANS CITY RD, RENFREW, PA 16053-9207
(724) 789-9950
Mailing address
851 EVANS CITY RD, RENFREW, PA 16053-9207
(724) 789-9950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD028373E
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015452650004
—
PA
Enumeration date
02/26/2007
Last updated
08/22/2020
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