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Contact Information

DIVYA G VIJENDRA, MD
433 W HIGH ST
BRYAN, OH43506-1690
 Phone: 419-636-1131
 Fax: 419-636-3100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIVYA G VIJENDRA · (Female)

NPI Number 1164502373
Status Active
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 08/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-084674
  • OH License # 35084674
  • OH Medicaid 2491683
Hospital affiliation(s)
  • COMMUNITY HOSPITALS AND WELLNESS CENTERS - (Acute Care)
    433 WEST HIGH STREET
    BRYAN, OH 43506
  • UNIVERSITY OF TOLEDO MEDICAL CENTER - (Acute Care)
    3000 ARLINGTON AVENUE
    TOLEDO, OH 43699
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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