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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIVYA GOUTAM VIJENDRA, M.D.

Active

DIVYA GOUTAM VIJENDRA, M.D. is a Medical Oncology healthcare provider located in BRYAN, Ohio. NPI 1164502373 is currently active in the NPPES registry. Verify at CMS.

Medical Oncology · BRYAN, OH

Registration Details

NPI Number
1164502373
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2006 (19.872092177966 yrs)
Last Updated
Aug 20, 2020
Licenses
35-084674 (OH)
35084674 (OH)
35084674 (OH)

Practice Information

Address
433 W HIGH ST
BRYAN, OH, 435061690
Browse OH providers · Browse ZIP 43506
Phone
4196361131
Fax
4196363100
Primary Specialty
Medical Oncology
207RX0202X
Additional Specialty
Gastroenterology
Additional Specialty
Medical Oncology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.