Provider Demographics
NPI:1962651521
Name:JALEEL, VIJAYA LAKSHMI
Entity Type:Individual
Prefix:DR
First Name:VIJAYA
Middle Name:LAKSHMI
Last Name:JALEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:VIJAYA
Other - Middle Name:LAKSHMI
Other - Last Name:KAMMILI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2929 OLD FRANKLIN RD
Mailing Address - Street 2:APT. # 920
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-3198
Mailing Address - Country:US
Mailing Address - Phone:606-422-2753
Mailing Address - Fax:
Practice Address - Street 1:1005 DR. D.B. TODD JR. BLVD.
Practice Address - Street 2:ELAM CENTER
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208
Practice Address - Country:US
Practice Address - Phone:615-327-6350
Practice Address - Fax:615-327-6260
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry