Provider Demographics
NPI:1790289122
Name:KNIGHT, VIJAYA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:VIJAYA
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:VIJAYA
Other - Middle Name:
Other - Last Name:NAGABHUSHANAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:5075 S OLATHE CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4180
Mailing Address - Country:US
Mailing Address - Phone:415-298-0436
Mailing Address - Fax:
Practice Address - Street 1:1400 JACKSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2761
Practice Address - Country:US
Practice Address - Phone:303-398-1292
Practice Address - Fax:303-270-2125
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study