Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 248639-1 | NY |
Y | 111NI0900X | Internist | 248639-1 | NY |
N | 207R00000X | Internist | ME87781 | FL |
N | 111NI0900X | Internist | ME87781 | FL |
NPI | 1003800095 |
---|---|
Provider Name | Dr. Vijay Saaraswat |
First Address | Brooklyn, NY 11237-4006 |
Second Address | Brooklyn, NY 11237-4006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 05/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
268240100 | (05) | FL |
71002 | BCBS (01) | FL |
H90076 | (02) |