Individual
VIJAYAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7237 HANOVER PKWY STE B, GREENBELT, MD 20770-3602
(301) 982-4892
(301) 982-5813
Mailing address
7237 HANOVER PKWY STE B, GREENBELT, MD 20770-3602
(301) 982-4892
(301) 982-5813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0014192
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017051800
—
MD
Enumeration date
01/26/2007
Last updated
11/19/2012
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