| Vijay Shanmugam M D Inc | |
|
44215 N 15th St West Ste 204 Lancaster CA 93534-5504 | |
| (661) 726-9220 | |
| (661) 726-0240 |
| Full Name | Vijay Shanmugam M D Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 44215 N 15th St West, Lancaster, California |
| Authorized Official Name and Position | Malavika Vijay (OFFICE MANAGER) |
| Authorized Official Contact | 6617269220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Shanmugam M D Inc 44215 N 15th St West Ste 204 Lancaster CA 93534-5504 Ph: (661) 726-9220 | Vijay Shanmugam M D Inc 44215 N 15th St West Ste 204 Lancaster CA 93534-5504 Ph: (661) 726-9220 |
| NPI Number | 1255715397 |
|---|---|
| Provider Enumeration Date | 07/18/2015 |
| Last Update Date | 08/13/2015 |
| Medicare PECOS PAC ID | 2163737032 |
|---|---|
| Medicare Enrollment ID | O20150820012537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255715397 | NPI | - | NPPES |
| 00A667870 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A66787 (California) | Primary |
| Provider Name | Vijay Shanmugam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174576839 PECOS PAC ID: 7012997778 Enrollment ID: I20080303000314 |
| Provider Name | Kruthika Shanmugam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811349822 PECOS PAC ID: 8921385865 Enrollment ID: I20220516002926 |
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