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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407207145

Vickram Jay Tandon, MD is a Student in an Organized Health Care Education/Training Program in Jamaica Plain, Massachusetts. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts and Michigan.

Licensed in
MA, MI
In the registry since
2016
Specialties on file
2
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

476 Jamaicaway Apt 2
Jamaica Plain, MA 02130-2030
Phone: (510) 364-7494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Drive, Ann Arbor, MI 48109-5340 — (734) 998-6022

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 291776 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301110334 (MI)

Record details

NPI number1407207145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address476 Jamaicaway Apt 2, Jamaica Plain, MA 02130-2030

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