| Dr Vijayakumar Tanjavur, MD | |
|
511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | |
| (352) 728-6808 | |
| (352) 728-1743 |
| Full Name | Dr Vijayakumar Tanjavur |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 511 Medical Plaza Dr Ste 101, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417290065 | NPI | - | NPPES |
| 324586 | Other | LA | STATE LICENSE |
| 126260100 | Medicaid | FL | |
| 296652 | Other | NY | STATE LICENSE |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Gulf Coast Cardiothoracic Surgeons |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275573131 PECOS PAC ID: 2567436587 Enrollment ID: O20040824001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vijayakumar Tanjavur, MD 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 Ph: (352) 728-6808 | Dr Vijayakumar Tanjavur, MD 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 Ph: (352) 728-6808 |
Dr. David L Sustarsic, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748 Phone: 352-728-6808 Fax: 352-728-1743 | |
Dr. Norina Mohd Nordin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748 Phone: 352-728-6808 Fax: 352-728-1743 | |
Celia K Nelson, MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 Fax: 352-265-1060 | |
Dr. Samuel Bundz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 Phone: 352-787-9111 | |
Maohao Han, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8110 County Road 44 Leg A, Leesburg, FL 34788 Phone: 352-323-8868 Fax: 352-323-8865 | |
Dr. Jonathan Amahl Higgins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 Fax: 352-265-1060 |