Organization Active NPI

Punitha Vijayakumar MD PC

  • Neurology Physician
  • Taylor, MI
National Provider Identifier
1932423332
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301072977 Issued in MI
Legal business name
PUNITHA VIJAYAKUMAR MD PC
Practice address
25400 Goddard Rd
Taylor, MI 48180-6200
Phone
(313) 292-9233
Fax
(313) 292-9023
NPI assigned
Mar 15, 2010
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Punitha Vijayakumar, M.D.
Title
President
Phone
(313) 292-9233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301072977 MI Primary

Addresses

Primary practice location

25400 Goddard Rd
Taylor, MI 48180-6200

Mailing address

25400 Goddard Rd
Taylor, MI 48180-6200
Phone (313) 292-9233

National Provider Directory

National Provider Directory

Locations

7330 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

8544 N Canton Center Rd
Canton, MI 48187
Phone (248) 846-0007

14555 Levan Rd
Ste 312
Livonia, MI 48154
Phone (734) 542-7190

25400 Goddard Rd
Taylor, MI 48180
Phone (313) 292-9233

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1932423332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-292-9233",
            "fax_number": "313-292-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806200",
            "telephone_number": "313-292-9233",
            "fax_number": "313-292-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNITHA VIJAYAKUMAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "VIJAYAKUMAR",
        "authorized_official_first_name": "PUNITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-292-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301072977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.