VIJAY MYSORE RAVINDRA

SALT LAKE CITY, UT
NPI1982995841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: CA  A161999)
Enumeration Date2011-04-27
Last Update Date2025-05-22
Business Address
Mr. VIJAY MYSORE RAVINDRA MD
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-5351
Mailing Address
Mr. VIJAY MYSORE RAVINDRA MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-662-1000