Manju Vijayvargiya, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35-04-8951-V Issued in OH

Practice address

13207 Ravenna Rd
Chardon, OH 44024-7032

Phone

(440) 285-6000

Fax

(216) 844-5922

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1871512806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8792",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049158792",
            "telephone_number": "440-285-6000",
            "fax_number": "216-844-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 RAVENNA RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247032",
            "telephone_number": "440-285-6000",
            "fax_number": "216-844-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYVARGIYA",
        "first_name": "MANJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-04-8951-V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0549179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Vecchio, OT
• Richard Venn, LPCC
• Jessica Verch, PHARMACIST
• Amy Denise Vernick, BCBA
• Brian Victor
• Yana Vinogradskaya
• Amy Vlack
• Brittany Vlasic
• Paayal Sanjay Vora
• Alexandria Vranic

• Diagnostic Radiology Physician in Chardon, OH
• Providers in Chardon, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.