Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VIJAY MANDYAM, DPM
Active Sole ProprietorDR. VIJAY MANDYAM, DPM is a Podiatrist healthcare provider located in LANCASTER, California. NPI 1174618672 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · LANCASTER, CA
Registration Details
- NPI Number
- 1174618672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.904524233535 yrs)
- Last Updated
- Dec 6, 2023
- License
-
E4071 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43713 20TH ST W STE 5LANCASTER, CA, 935344628Browse CA providers · Browse ZIP 93534
- Phone
- 6619458700
- Fax
- 6619458757
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in LANCASTER, CA
| Name | Credential | NPI |
|---|---|---|
| GERARD H BOGHOSSIAN | D.P.M. | 1942263322 |
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.