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Individual

DR. VIJAY CHRISTOPHER KANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
1 DEACONESS ROAD W/CC2, BOSTON, MA 02062

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
269672
MA
207P00000X
Emergency Medicine Physician
Primary
65642
AZ

Other

Enumeration date
06/09/2014
Last updated
11/20/2024
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