L Vijaya. MD, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

19957 Issued in NC

Legal business name

L VIJAYA. MD, PA

Practice address

568 Ruin Creek Rd
Ste. 121
Henderson, NC 27536-2880

Phone

(252) 492-8711

Fax

(252) 492-2028

NPI assigned

May 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Connie B Brendle

Title

Office Manager

Phone

(252) 492-8711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijaya Linga Reddy, MD

  • Urology Physician
  • Malone, NY
  • NPI 1427023878
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1124239553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "SUITE 121",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-492-8711",
            "fax_number": "252-492-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "STE. 121",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-492-8711",
            "fax_number": "252-492-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L VIJAYA. MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "BRENDLE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-492-8711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "19957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985084",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Kostich, ATC, LAT
• KSB Transportation
• Levina Kumar, PMHNP-BC
• Danielle Renee Kwakye-Berko, MD
• Timothy Kwiatkowski, MD
• Lamantre Tresses LLC
• Lane and Associates Xxxvi DDS PA
• Michael Langston
• Anthony Veto Laspina, PH.D.
• Chippy Lavache

• Urology Physician in Henderson, NC
• Providers in Henderson, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.