Individual
MR. VIJAY MYSORE RAVINDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5351
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 662-1000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A161999
CA
Other
Enumeration date
04/27/2011
Last updated
02/09/2026
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