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BANGALORE VIJAYALAKSHMI MD NPI 1003843574

Classification
Physical Medicine & Rehabilitation
Type
License No.
9837
License State
ND
Certified
Location

Additional Identifiers

Medical School
OTHER
Graduation Year
1995
Identifier
Type
State
Identifier: 927S3VI
Type: OTHER (01)
State: ND
Identifier: DA9011042827
Type: OTHER (01)
State: ND
Identifier: 2300322
Type: OTHER (01)
State: ND
Identifier: 25030
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: ND
Identifier: 13283
Type: MEDICAID (05)
State: ND
Identifier: 2300320
Type: OTHER (01)
State: ND
Identifier: HP48628
Type: OTHER (01)
State: ND
Identifier: 137123
Type: OTHER (01)
State: ND
Identifier: 2265220
Type: OTHER (01)
State: ND
Identifier: 363627500
Type: MEDICAID (05)
State: ND
Identifier: 38107
Type: OTHER (01)
State: ND
Identifier: I22403
Type: MEDICARE UPIN (02)
State: ND
Identifier: P00212896
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: ND

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1702 UNIVERSITY DR S, FARGO, ND, 581034940
Business Phone
701-364-3300
Mailing Address
PO BOX 6001, FARGO, ND, 581086001
Mailing Phone
701-364-3300
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