Individual
DR. VIJAY NARASIMHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 PARSONS PARK DR, BRANDON, FL 33511-6066
(813) 684-5255
(813) 654-7457
Mailing address
205 S.MOON AVE, STE 102, BRANDON, FL 33511-5716
(813) 681-4644
(813) 654-4486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME78612
FL
2086S0129X
Vascular Surgery Physician
ME0078612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01109
UNIVERSAL
—
01
—
020048190
R.R.MEDICARE
—
01
—
219857
AMERIGROUP
—
05
—
264791500
—
FL
01
—
271810
AVMED
—
01
—
49887
BLUECROSS/BLUESHIELD
—
01
—
5599677
AETNA
—
01
—
5796380
GHI
—
01
—
7401818005
CIGNA HMO
—
Enumeration date
10/27/2006
Last updated
01/11/2024
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