Individual
HAROHALLI RAMAKRISHNAN VIJAYAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 VARNUM AVE, 295 VARNUM AVE, LOWELL, MA 01854-2193
(978) 937-6235
Mailing address
60 EAST ST, SUITE 1400, METHUEN, MA 01844-4500
(978) 689-4601
(978) 689-3096
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
71491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050034799
RR MEDICARE
—
05
—
30005577
—
NH
05
—
3053610
—
MA
01
—
733647
TUFT
—
01
—
J09189
MASS. BCBS
—
Enumeration date
07/26/2005
Last updated
08/02/2013
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