Doctor Name: | DR. THURAIRASAH VIJAYANATHAN |
NPI Number: | 1205808813 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA26891 |
Business Practice Address: | 6416 Bergenline Ave West New York, NJ - 070931621 |
Business Phone Number: | 2012951099 |
Business Fax Number: | 2012951035 |
Mailing Address: | 6416 Bergenline Ave, WEST NEW YORK |
State: | NJ |
Postal Code: | 070931621 |
Phone Number: | 2012951099 |
Fax Number: | 2012951035 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | MA26891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |