Individual
DR. VIJAI SATHYAN TIVAKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4160 LITTLE YORK RD, SUITE 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Mailing address
4160 LITTLE YORK RD, SUITE 20, DAYTON, OH 45414-5800
(937) 454-9527
(937) 454-9532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
219747
NY
207RC0000X
Cardiovascular Disease Physician
Primary
34008775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3132676
—
OH
Enumeration date
03/17/2006
Last updated
11/17/2020
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