Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divya Goutam Vijendra, MD

Individual provider Internal Medicine Physician · NPI 1164502373

Divya Goutam Vijendra, MD is a Hematology/Oncology in Bryan, Ohio. Qualified in 1997, 29 years ago. Practices with University of Toledo Physicians LLC, a 395-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

433 W High St
Bryan, OH 43506-1690
Phone: (419) 636-1131
Fax: (419) 636-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 35084674 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35-084674 (OH)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 35084674 (OH)

Record details

NPI number1164502373
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice University Of Toledo Physicians Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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