Provider Demographics
NPI:1568453959
Name:MAHAJAN, VIJAY K (MD)
Entity Type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:K
Last Name:MAHAJAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2222 CHERRY ST
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2673
Mailing Address - Country:US
Mailing Address - Phone:419-251-4790
Mailing Address - Fax:419-251-3867
Practice Address - Street 1:2222 CHERRY ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2673
Practice Address - Country:US
Practice Address - Phone:419-251-4790
Practice Address - Fax:419-251-3867
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2012-10-23
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Provider Licenses
StateLicense IDTaxonomies
OH35042149207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA66822Medicare UPIN