1639319288 NPI number — DR. SILVIE RAJBHANDARI VIJAYANANDA MD

Table of content: DR. SILVIE RAJBHANDARI VIJAYANANDA MD (NPI 1639319288)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639319288 NPI number — DR. SILVIE RAJBHANDARI VIJAYANANDA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VIJAYANANDA
Provider First Name:
SILVIE
Provider Middle Name:
RAJBHANDARI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAJBHANDARI
Provider Other First Name:
SILVIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639319288
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 W. 19TH TERRACE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-404-6017
Provider Business Mailing Address Fax Number:
816-404-5044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 W 19TH TER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64108-2026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-404-6017
Provider Business Practice Location Address Fax Number:
816-404-5044
Provider Enumeration Date:
02/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  2013013934 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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