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Vijaya Ajjagottu

Internal Medicine in Albany, NY. Individual provider (NPI-1).

NPI number1558467266
StatusActive
Last updated in NPPESApr 26, 2022

Details

NPI
1558467266
Entity type
Individual (NPI-1)
Name
Vijaya Ajjagottu
Sex
Female
Sole proprietor
No
Enumeration date
Sep 16, 2006
Certification date
Apr 26, 2022
Last updated
Apr 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine041034CTYes

Practice location

113 Holland Ave
Albany, NY 12208-3410

Phone 518-626-5000

Mailing address

251 Trinity Ave
Glastonbury, CT 06033-1339

Phone 860-997-5225

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