Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 200908 | LA |
NPI | 1033298047 |
---|---|
Provider Name | Dr. Vikram Singh Nijjar |
First Address | Alexandria, LA 71315-2484 |
Second Address | Alexandria, LA 71301-3944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 24/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00025987 | STATE MED LICENSE (01) | AL |
1507628 | (05) | LA |