Provider Demographics
NPI:1891050241
Name:NAGJEE, VINDHYA (MD)
Entity type:Individual
Prefix:
First Name:VINDHYA
Middle Name:
Last Name:NAGJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VINDHYA
Other - Middle Name:
Other - Last Name:SUBRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1800 HARRISON ST FL 7
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3466
Mailing Address - Country:US
Mailing Address - Phone:510-625-4101
Mailing Address - Fax:877-738-4262
Practice Address - Street 1:3000 LAS POSITAS RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-9627
Practice Address - Country:US
Practice Address - Phone:925-243-2600
Practice Address - Fax:803-434-4155
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL34843207V00000X
CAA138502207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology