Individual
DR. SUVENDRA VIJAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.D.S, M.P.H, M.S
Contact information
Practice address
3501 TERRACE ST, SALK ANNEX G119, PITTSBURGH, PA 15213-2523
(412) 624-2053
Mailing address
3501 TERRACE ST, SALK ANNEX G119, PITTSBURGH, PA 15213-2523
(412) 624-2053
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
RES-30448
IA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
RFD000032
PA
Other
Enumeration date
07/23/2015
Last updated
10/25/2024
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