Provider Demographics
NPI:1104861020
Name:ARVIND, VIJAYASREE (MD)
Entity Type:Individual
Prefix:DR
First Name:VIJAYASREE
Middle Name:
Last Name:ARVIND
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 1:221 W. COLORADO BLVD
Mailing Address - Street 2:PAV 2 SUITE 940
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208
Mailing Address - Country:US
Mailing Address - Phone:214-377-1753
Mailing Address - Fax:214-946-1988
Practice Address - Street 1:221 W. COLORADO BLVD
Practice Address - Street 2:PAV 2 SUITE 940
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-7520
Practice Address - Country:US
Practice Address - Phone:214-377-1753
Practice Address - Fax:214-946-1988
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9995207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6485450001Medicare NSC