Individual
VIJAYAVEL PALANICHAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 E ANDY DEVINE AVE, KINGMAN, AZ 86401-3412
(928) 757-2050
(928) 757-2020
Mailing address
3535 E ANDY DEVINE AVE, KINGMAN, AZ 86401-3412
(928) 757-2050
(928) 757-2401
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
27022
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44268202
—
AZ
Enumeration date
08/10/2006
Last updated
01/10/2012
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