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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568844314

Vijay Venugopal, MD is a Student in an Organized Health Care Education/Training Program in Cambridge, Massachusetts. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015
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

1611 Cambridge St
Cambridge, MA 02138-4302
Phone: (617) 661-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 404 W Fountain St, Albert Lea, MN 56007-2437 — (507) 377-6285
  • 121 Dekalb Ave, Brooklyn, NY 11201-5425 — (718) 250-8000

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 62996 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568844314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2015
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address1611 Cambridge St, Cambridge, MA 02138-4302

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