Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 17466 | MS |
Y | 207RR0500X | Rheumatology | ME153301 | FL |
NPI | 1073540266 |
---|---|
Provider Name | Dr. Vikas Majithia |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jackson, MS 39216-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 06/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00127031 | (05) | MS |
1507067 | (05) | LA |
166559 | (05) | AL |