Provider Demographics
NPI:1033449731
Name:BAPAT, VIJAYA V (MD)
Entity Type:Individual
Prefix:
First Name:VIJAYA
Middle Name:V
Last Name:BAPAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 BECKINGHAM LOOP
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6374
Mailing Address - Country:US
Mailing Address - Phone:919-319-7294
Mailing Address - Fax:
Practice Address - Street 1:227 BECKINGHAM LOOP
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6374
Practice Address - Country:US
Practice Address - Phone:919-319-7294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC58391208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics