Provider Demographics
NPI:1457471492
Name:PALKAR, VIJAY ANANT
Entity Type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:ANANT
Last Name:PALKAR
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:KING FAHAD HOSPITAL MAIL CODE 1222
Mailing Address - Street 2:P. O. BOX 22490
Mailing Address - City:RIYADH
Mailing Address - State:CENTRAL REGION
Mailing Address - Zip Code:11426
Mailing Address - Country:SA
Mailing Address - Phone:0119661-252-0252
Mailing Address - Fax:0119661-252-0140
Practice Address - Street 1:KING FAHAD HOSPITAL MAIL CODE 1222
Practice Address - Street 2:SANDOOK BAREED 22490
Practice Address - City:RIYADH
Practice Address - State:CENTRAL REGION
Practice Address - Zip Code:11426
Practice Address - Country:SA
Practice Address - Phone:0119661-252-0252
Practice Address - Fax:0119661-252-0140
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA202462085B0100X, 2085N0700X, 2085P0229X, 2085R0202X, 2085R0204X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
Not Answered2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Not Answered2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Not Answered2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound