Provider Demographics
NPI:1093954760
Name:BAYYA, VIJAYA VEENA (MD)
Entity Type:Individual
Prefix:
First Name:VIJAYA
Middle Name:VEENA
Last Name:BAYYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2345 E PRATER WAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-9600
Mailing Address - Country:US
Mailing Address - Phone:775-352-5300
Mailing Address - Fax:775-356-5590
Practice Address - Street 1:2345 E PRATER WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-9600
Practice Address - Country:US
Practice Address - Phone:775-352-5300
Practice Address - Fax:775-356-5590
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2011-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV12936207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine