Individual
MS. VIDYA VIJAYARAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4689 38TH AVE S, FARGO, ND 58104-8506
(480) 282-0950
Mailing address
4689 38TH AVE S, FARGO, ND 58104-8506
(480) 282-0950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL11857
ND
Other
Enumeration date
07/26/2011
Last updated
11/06/2014
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