Individual
CHICKAJAJUR VIJAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1697
(304) 845-3211
Mailing address
977 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24868
WV
208M00000X
Hospitalist Physician
24868
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/11/2009
Last updated
04/15/2022
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