Provider Demographics
NPI:1881669570
Name:RAJU, VIJAYALAKSHMI (MD)
Entity Type:Individual
Prefix:
First Name:VIJAYALAKSHMI
Middle Name:
Last Name:RAJU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11803 WESTHEIMER RD STE 720
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6796
Mailing Address - Country:US
Mailing Address - Phone:832-810-9012
Mailing Address - Fax:832-810-9013
Practice Address - Street 1:11803 WESTHEIMER RD STE 720
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6796
Practice Address - Country:US
Practice Address - Phone:832-810-9012
Practice Address - Fax:832-810-9013
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0525208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics