Provider Demographics
NPI:1548447352
Name:VIJAY B HARPALANI, MD, PA
Entity type:Organization
Organization Name:VIJAY B HARPALANI, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARPALANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-624-1991
Mailing Address - Street 1:3400 BURNS RD
Mailing Address - Street 2:SUITE # 202
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4347
Mailing Address - Country:US
Mailing Address - Phone:561-624-1991
Mailing Address - Fax:561-626-7661
Practice Address - Street 1:3400 BURNS RD
Practice Address - Street 2:SUITE # 202
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4347
Practice Address - Country:US
Practice Address - Phone:561-624-1991
Practice Address - Fax:561-626-7661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0074946261QM2500X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL252328100Medicaid
FL252328100Medicaid
FLG57059Medicare UPIN