Provider Demographics
NPI:1568656551
Name:YECHOOR, VIJAY K (MD)
Entity Type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:K
Last Name:YECHOOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BAYLOR PLZ # R612
Mailing Address - Street 2:BAYLOR COLLEGE OF MEDICINE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:713-436-6266
Mailing Address - Fax:713-798-8764
Practice Address - Street 1:1 BAYLOR PLZ # N520.09
Practice Address - Street 2:BAYLOR COLLEGE OF MEDICINE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:713-436-6266
Practice Address - Fax:713-798-8764
Is Sole Proprietor?:No
Enumeration Date:2007-09-01
Last Update Date:2008-06-24
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Provider Licenses
StateLicense IDTaxonomies
TXK1144207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K7327Medicare PIN