Individual
DR. DEEPA VIJAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3124 BLUE RIDGE ROAD ST 102, RALEIGH, NC 27612
(919) 782-0021
(919) 571-0825
Mailing address
3124 BLUE RIDGE ROAD ST 102, RALEIGH, NC 27612
(919) 782-0021
(919) 571-0825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9901070
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117184
WELLPATH
NC
01
—
1239L
BCBS OF NC
NC
01
—
1255658
UNITED HEALTHCARE
NC
01
—
7399901
CIGNA
NC
01
—
7619341
AETNA
NC
05
—
891239L
—
NC
01
—
92058
MEDCOST
NC
Enumeration date
11/03/2006
Last updated
04/01/2021
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