Provider Demographics
NPI:1386969855
Name:SANKARAN, VIJAY GANESH (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:VIJAY
Middle Name:GANESH
Last Name:SANKARAN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:450 BROOKLINE AVENUE
Mailing Address - Street 2:DANA-FARBER CANCER INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-355-6363
Mailing Address - Fax:
Practice Address - Street 1:450 BROOKLINE AVENUE
Practice Address - Street 2:DANA-FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-355-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2013-06-21
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Provider Licenses
StateLicense IDTaxonomies
MA2542212080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology