Provider Demographics
NPI:1881796357
Name:JUJARE, VIJAYA LAKSHMI (MD)
Entity type:Individual
Prefix:DR
First Name:VIJAYA
Middle Name:LAKSHMI
Last Name:JUJARE
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 1:500 E REMINGTON DR STE 11
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2611
Mailing Address - Country:US
Mailing Address - Phone:408-245-1050
Mailing Address - Fax:408-245-1052
Practice Address - Street 1:500 E REMINGTON DR STE 11
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2611
Practice Address - Country:US
Practice Address - Phone:408-245-1050
Practice Address - Fax:408-245-1052
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73112208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics