Individual
DR. VIMALA VIJAYARAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
4615 ALAMEDA AVE, EL PASO, TX 79905-2702
(915) 215-5557
Mailing address
5001 EL PASO DR, EL PASO, TX 79905-2827
(915) 215-5557
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10090562
TX
2084P0804X
Child & Adolescent Psychiatry Physician
R-12381
IA
Other
Enumeration date
10/26/2022
Last updated
08/25/2024
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