Provider Demographics
NPI:1871835686
Name:VAISHNAV, VIJAY HARSHADRAY
Entity Type:Individual
Prefix:MR
First Name:VIJAY
Middle Name:HARSHADRAY
Last Name:VAISHNAV
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 1:485 LOS COCHES ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5422
Mailing Address - Country:US
Mailing Address - Phone:408-201-3093
Mailing Address - Fax:
Practice Address - Street 1:485 LOS COCHES ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5422
Practice Address - Country:US
Practice Address - Phone:408-201-3093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath