| Doctor Name: | VIJAYA SRIPATHY |
| NPI Number: | 1508925652 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01040974A |
| Business Practice Address: | 18209 Eula Mae Pkwy Carlyle, IL - 622316407 |
| Business Phone Number: | 8122383800 |
| Business Fax Number: | |
| Mailing Address: | 18209 Eula Mae Pkwy, CARLYLE |
| State: | IL |
| Postal Code: | 622316407 |
| Phone Number: | 8122383800 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01040974A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |