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Contact Information

ANIL KUMAR CHANGARATH VIJAYAN, MBBS
1200 6TH AVENUE NORTH
CENTRACARE CLINIC RIVER CAMPUS
SAINT CLOUD, MN56303-2735
 Phone: 320-240-2207
 Fax: 320-240-7896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANIL KUMAR CHANGARATH VIJAYAN · (Male)

NPI # 1649451873
Status Active
Credentials MBBS
Entity Individual
Enumeration date 11/15/2007
Last updated 08/21/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.125622
  • IL License # 036125622
  • MN License # 60177
  • OH License # 35.121030
Hospital affiliation(s)
  • NEW RIVER MEDICAL CENTER - (Critical Access)
    1013 HART BOULEVARD
    MONTICELLO, MN 55362
  • REDWOOD AREA HOSPITAL - (Critical Access)
    100 FALLWOOD ROAD
    REDWOOD FALLS, MN 56283
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
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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