| Nirupa Vignarajan, M.d., Inc. | |
|
1030 S Glendale Ave Suite 309 Glendale CA 91205-5612 | |
| (818) 553-6666 | |
| (818) 553-6651 |
| Full Name | Nirupa Vignarajan, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 S Glendale Ave, Glendale, California |
| Authorized Official Name and Position | Nirupa Vignarajan (PRESIDENT) |
| Authorized Official Contact | 8185536666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirupa Vignarajan, M.d., Inc. 1030 S Glendale Ave Suite 309 Glendale CA 91205-5612 Ph: (818) 553-6666 | Nirupa Vignarajan, M.d., Inc. 1030 S Glendale Ave Suite 309 Glendale CA 91205-5612 Ph: (818) 553-6666 |
| NPI Number | 1598180283 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 2062635055 |
|---|---|
| Medicare Enrollment ID | O20140520001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598180283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A54107 (California) | Primary |
| Provider Name | Nirupa Vignarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073514261 PECOS PAC ID: 1456388727 Enrollment ID: I20050719000966 |
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