Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANIL KUMAR CHANGARATH VIJAYAN, MBBS
ActiveANIL KUMAR CHANGARATH VIJAYAN, MBBS is a Sports Medicine (IM) healthcare provider located in ST CLOUD, Minnesota. NPI 1649451873 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · ST CLOUD, MN
Registration Details
- NPI Number
- 1649451873
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2007 (18.720392802336 yrs)
- Last Updated
- Aug 21, 2025
- Licenses
-
036.125622 (IL)35.121030 (OH)60177 (MN)036125622 (IL)35.121030 (OH)
Practice Information
- Address
-
1200 6TH AVENUE NORTHCENTRACARE CLINIC RIVER CAMPUSST CLOUD, MN, 563032735Browse MN providers · Browse ZIP 56303
- Phone
- 3202402207
- Fax
- 3202407896
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Internal Medicine
Other Sports Medicine (IM) Providers in ST CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| TROY A PAYNE | MD | 1083682561 |
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.