Provider Demographics
NPI:1649403205
Name:VIJ, BRINDER (MD)
Entity Type:Individual
Prefix:
First Name:BRINDER
Middle Name:
Last Name:VIJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7690 DISCOVERY DR
Mailing Address - Street 2:STE 3500
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6542
Mailing Address - Country:US
Mailing Address - Phone:513-475-8272
Mailing Address - Fax:513-475-8273
Practice Address - Street 1:7690 DISCOVERY DR
Practice Address - Street 2:STE 3500
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6542
Practice Address - Country:US
Practice Address - Phone:513-475-8272
Practice Address - Fax:513-475-8273
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYP71891207RG0300X
OH35 098565207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine