Vijaya Gandham, MD is a medicare enrolled "Pediatrics" physician in Burnt Hills, New York. Her current practice location is
813 Saratoga Rd, Rte 50, Burnt Hills, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 384-5683.
Vijaya Gandham is licensed to practice in New York (license number 2100491) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194709899.
Physician's Profile
Full Name | Vijaya Gandham |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 813 Saratoga Rd, Burnt Hills, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194709899
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 04/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 3971827643
- Enrollment ID: I20150129000712
Medical Identifiers
Medical identifiers for Vijaya Gandham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194709899 | NPI | - | NPPES |
00628079 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 2100491 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vijaya Gandham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Vijaya Gandham, MD 318 Ruhle Rd S, Ballston Lake, NY 12019-1030 Ph: (518) 899-4133 | Vijaya Gandham, MD 813 Saratoga Rd, Rte 50, Burnt Hills, NY 12027-9568 Ph: (518) 384-5683 |
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