Provider Demographics
NPI:1033193933
Name:SESHADRI, VIJAYA G (MD, FAAP, FACC)
Entity Type:Individual
Prefix:DR
First Name:VIJAYA
Middle Name:G
Last Name:SESHADRI
Suffix:
Gender:F
Credentials:MD, FAAP, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 PIN OAK CT
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-9799
Mailing Address - Country:US
Mailing Address - Phone:724-387-1255
Mailing Address - Fax:724-325-6325
Practice Address - Street 1:4262 OLD WILLIAM PENN HWY STE 208
Practice Address - Street 2:MURRYSVILLE COMMONS
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1954
Practice Address - Country:US
Practice Address - Phone:724-387-1255
Practice Address - Fax:724-325-6325
Is Sole Proprietor?:No
Enumeration Date:2005-12-04
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD049597L208000000X, 2080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001047830-0011Medicaid
PA001047830-0011Medicaid
PAS67171Medicare UPIN