Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 4301092020 | MI |
Y | 208D00000X | General Practice Physician | ME144314 | FL |
NPI | 1043544810 |
---|---|
Provider Name | Vijay Singh Saini |
First Address | Zephyrhills, FL 33542-7505 |
Second Address | Brandon, FL 33511-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2009 |
Last Update Date | 07/10/2021 |