Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIVYA GOUTAM VIJENDRA, M.D.
ActiveDIVYA 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 STBRYAN, OH, 435061690Browse 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.