Provider Demographics
NPI:1386038388
Name:HEJJAJI, VITTAL
Entity Type:Individual
Prefix:
First Name:VITTAL
Middle Name:
Last Name:HEJJAJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 SUNNY ISLES BLVD STE 602
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4676
Mailing Address - Country:US
Mailing Address - Phone:786-274-8105
Mailing Address - Fax:
Practice Address - Street 1:323 SUNNY ISLES BLVD STE 602
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4676
Practice Address - Country:US
Practice Address - Phone:786-274-8105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME163027207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease