Divya Goutam Vijendra, MD | |
433 W High St, Bryan, OH 43506-1690 | |
(419) 636-1131 | |
(419) 636-3100 |
Full Name | Divya Goutam Vijendra |
---|---|
Gender | Female |
Speciality | Hematology/oncology |
Experience | 27 Years |
Location | 433 W High St, Bryan, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164502373 | NPI | - | NPPES |
2491683 | Medicaid | OH |
Facility Name | Location | Facility Type |
---|---|---|
University Of Toledo Medical Center | Toledo, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Toledo Physicians Llc | 8729983416 | 373 |
Entity Name | University Of Toledo Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
Mailing Address | Practice Location Address |
---|---|
Divya Goutam Vijendra, MD 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 | Divya Goutam Vijendra, MD 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 |
Lamberto Diaz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438 | |
Damoder R. Kesireddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2028 Fax: 419-630-2029 | |
Dr. Scott A. Frederick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 | |
Dr. Michael D Castillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2028 Fax: 419-630-2029 | |
Dr. Philip A Lowry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2291 Fax: 419-630-2181 | |
Mahmoud H Afifi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100 |