1457471492 NPI number — DR. VIJAY ANANT PALKAR

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457471492 NPI number — DR. VIJAY ANANT PALKAR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PALKAR
Provider First Name:
VIJAY
Provider Middle Name:
ANANT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457471492
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
KING FAHAD HOSPITAL MAIL CODE 1222
Provider Second Line Business Mailing Address:
P. O. BOX 22490
Provider Business Mailing Address City Name:
RIYADH
Provider Business Mailing Address State Name:
CENTRAL REGION
Provider Business Mailing Address Postal Code:
11426
Provider Business Mailing Address Country Code:
SA
Provider Business Mailing Address Telephone Number:
01196612520252
Provider Business Mailing Address Fax Number:
01196612520140

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
KING FAHAD HOSPITAL MAIL CODE 1222
Provider Second Line Business Practice Location Address:
SANDOOK BAREED 22490
Provider Business Practice Location Address City Name:
RIYADH
Provider Business Practice Location Address State Name:
CENTRAL REGION
Provider Business Practice Location Address Postal Code:
11426
Provider Business Practice Location Address Country Code:
SA
Provider Business Practice Location Address Telephone Number:
01196612520252
Provider Business Practice Location Address Fax Number:
01196612520140
Provider Enumeration Date:
03/31/2007

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: 2085B0100X , with the licence number:  20246 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2085N0700X , with the licence number: 20246 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2085P0229X , with the licence number: 20246 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2085R0202X , with the licence number: 20246 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2085R0204X , with the licence number: 20246 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2085U0001X , with the licence number: 20246 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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