Provider Demographics
NPI:1750672200
Name:VIG, AVNEET (MD)
Entity type:Individual
Prefix:
First Name:AVNEET
Middle Name:
Last Name:VIG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3683 LOQUAT AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6217
Mailing Address - Country:US
Mailing Address - Phone:917-673-7331
Mailing Address - Fax:305-564-6364
Practice Address - Street 1:3683 LOQUAT AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-6217
Practice Address - Country:US
Practice Address - Phone:305-701-4128
Practice Address - Fax:305-564-6364
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2752671207RR0500X
FLME135290207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLLD0YZOtherFLORIDA BLUE