DIVYA GOUTAM VIJENDRA

BRYAN, OH
NPI1164502373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RX0202X Internal Medicine, Medical Oncology
(Licence: OH  35084674)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  35-084674)
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: OH  35084674)
Enumeration Date2006-10-16
Last Update Date2020-08-20
Business Address
DIVYA GOUTAM VIJENDRA M.D.
433 W HIGH ST
BRYAN, OH 43506-1690
Phone number: 419-636-1131
Mailing Address
DIVYA GOUTAM VIJENDRA M.D.
433 W HIGH ST
BRYAN, OH 43506-1690
Phone number: 419-636-1131