Individual
DR. VIJAY VISWANATHAN
Active
Individual
DR. VIJAY VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
C1-0009394
DE
2085N0904X
Nuclear Radiology Physician
C1-0009394
DE
2085R0202X
Diagnostic Radiology Physician
230305
MA
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0009394
DE
2085R0202X
Diagnostic Radiology Physician
D0068887
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073
AAD BLUE CHOICE
MD
01
—
156383ZDYC
RR MEDICARE ARA PTAN
MD
01
—
3811
AAD SHIPLEYS BLUE CHOICE
MD
05
—
417828900
—
MD
01
—
KC46SH
AAD SHIPLEYS BCBS
MD
01
—
P00751354
AAD RR PTAN
—
01
—
S645
AAD BCBS
MD
Enumeration date
10/10/2006
Last updated
11/30/2023
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