VIJIAN DHEVAN M.D. NPI 1003015421
Surgery in Harlingen, TX
About VIJIAN DHEVAN M.D.
Vijian Dhevan is a provider established in Harlingen, Texas and his medical specialization is Surgery with more than 16 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2007. The NPI number of this provider is 1003015421 and was assigned on July 2007. The practitioner's primary taxonomy code is 208600000X with license number P3310 (TX). The provider is registered as an individual and his NPI record was last updated April 2023.
NPI | 1003015421 |
Provider Name | VIJIAN DHEVAN M.D. |
Location Address | 2121 PEASE ST STE 101 HARLINGEN, TX 78550 |
Location Phone | (956) 425-8845 |
Mailing Address | PO BOX 911230 DALLAS, TX 75391 |
Gender | Male |
NPI Entity Type | Individual |
Medical School Name | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
Graduation Year | 2007 |
Is Sole Proprietor? | No |
Enumeration Date | 07-16-2007 |
Last Update Date | 04-04-2023 |
A surgeon like Vijian Dhevan treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.Vijian Dhevan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Vijian Dhevan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Vhs Harlingen Hospital Company Llc and Harlingen Medical Center.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.72, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: advance care plan, breast cancer screening, cervical cancer screening, clinical data registry reporting, colorectal cancer screening, depression screening, diabetes: eye exam, documentation of current medications in the medical record, engagement of patients through implementation of improvements in patient portal, falls: screening for future fall risk, health information exchange(hie) bi-directional exchange, implementation of fall screening and assessment programs, implementation of medication management practice improvements, practice improvements for bilateral exchange of patient information, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, preventive care and screening: screening for high blood pressure and follow-up documented, provide patients electronic access to their health information, public health registry reporting, security risk analysis, tobacco use, use of decision support and standardized treatment protocols and use of high-risk medications in older adults.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.84 for a new patient copayment and $17.81 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Taxonomy Code | 208600000X |
Classification | Surgery |
Type | Allopathic & Osteopathic Physicians |
License No. | P3310 |
License State | TX |
Taxonomy Description | A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2121 PEASE ST STE 101
HARLINGEN, TX
ZIP 78550
Phone: (956) 425-8845
Fax: (956) 364-6734
Mailing Address
PO BOX 911230
DALLAS, TX
ZIP 75391
Phone: (972) 997-8000
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Registered in PECOS? | Yes |
PECOS PAC ID | 446407753 |
PECOS Enrollment ID | I20120821000884 |
Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
Eligible order / refer Durable Medical Equipment | Yes |
Eligible order / refer Home Health Agency (HHA) | Yes |
Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 78550 ZIP code area.
New Patients Office Visits Costs * | ||
---|---|---|
Most Utilized Procedure Code for new patients office visits: 99203 | ||
Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
$56.75 | $172.6 | $87.36 |
Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
$14.18 | $43.15 | $21.84 |
Established Patients Office Visits Costs * | ||
---|---|---|
Most Utilized Procedure Code for established patients office visits: 99213 | ||
Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
$17.72 | $141.29 | $71.24 |
Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
$4.43 | $35.32 | $17.81 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
MIPS Measure | Score Weight | Score | |
---|---|---|---|
Quality | 40% | 88.59 | |
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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Promoting Interoperability (PI) | 25% | 100 | |
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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Improvement Activities | 15% | 40 | |
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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Cost | 20% | N/A | |
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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MIPS Final Score | - | 93.72 | |
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. |
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
---|---|---|
Advance Care Plan | 49% | 368 |
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. | ||
Breast Cancer Screening | 32% | 251 |
Percentage of women 50 - 74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the measurement period. | ||
Cervical Cancer Screening | 37% | 275 |
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria:* Women age 21-64 who had cervical cytology performed every 3 years* Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years. | ||
Clinical Data Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
Colorectal Cancer Screening | 61% | 439 |
Percentage of patients 50-75 years of age who had appropriate screening for colorectal cancer. | ||
Controlling High Blood Pressure | 44% | 43 |
Percentage of patients 18-85 years of age who had a diagnosis of hypertension overlapping the measurement period and whose most recent blood pressure was adequately controlled (<140/90mmHg) during the measurement period. | ||
Depression screening | Yes | N/A |
Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions. | ||
Diabetes: Eye Exam | 25% | 32 |
Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or in the 12 months prior to the measurement period. | ||
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 97% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 32 |
Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period. | ||
Documentation of Current Medications in the Medical Record | 100% | 968 |
Percentage of visits for patients aged 18 years and older for which the MIPS eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration. | ||
Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
Falls: Screening for Future Fall Risk | 79% | 352 |
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period. | ||
Health Information Exchange(HIE) Bi-Directional Exchange | Yes | N/A |
The MIPS eligible clinician or group must attest that they engage in bi-directional exchange with an HIE to support transitions of care. HIE broadly refers to arrangements that facilitate the exchange of health information, and may include arrangements commonly denoted as exchange frameworks, networks, or using other terms. | ||
Implementation of fall screening and assessment programs | Yes | N/A |
Implementation of fall screening and assessment programs to identify patients at risk for falls and address modifiable risk factors (e.g., Clinical decision support/prompts in the electronic health record that help manage the use of medications, such as benzodiazepines, that increase fall risk). | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following:Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups;Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews. | ||
Practice Improvements for Bilateral Exchange of Patient Information | Yes | N/A |
Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following:- Participate in a Health Information Exchange if available; and/or- Use structured referral notes. | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 78% | 769 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter. | ||
Preventive Care and Screening: Influenza Immunization | 54% | 309 |
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization. | ||
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 14% | 823 |
Percentage of patients aged 18 years and older seen during the submitting period who were screened for high blood pressure AND a recommended follow-up plan is documented based on the current blood pressure (BP) reading as indicated. | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91% | 232 |
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91% | 232 |
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user. | ||
Provide Patients Electronic Access to Their Health Information | 41% | 1135 |
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
Public Health Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Tobacco use | Yes | N/A |
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence. | ||
Use of decision support and standardized treatment protocols | Yes | N/A |
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 352 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications. |
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vijian Dhevan is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
---|---|---|---|---|---|
VHS HARLINGEN HOSPITAL COMPANY LLC | 2101 PEASE ST HARLINGEN, TX 78550 | (956) 389-1100 | Acute Care Hospitals | 450033 | |
HARLINGEN MEDICAL CENTER | 5501 SOUTH EXPRESSWAY 77 HARLINGEN, TX 78550 | (956) 365-1000 | Acute Care Hospitals | 450855 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
---|---|---|---|---|---|---|---|
1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 125-052980 | IL | No | |
Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
H08JE00001 | OTHER (01) | TX | BCBS |
302849006 | MEDICAID (05) | TX |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 0 | 3 | 0 | 1 | 5 | 4 | 2 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 0 | 1 | 10 | 4 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 4 + 4 + 24 = 39 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
40 - 39 = 1 | 1 |
The NPI number 1003015421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1861554685 | MR. DANIEL R HERNANDEZ RPH. Individual | Pharmacist | 2121 PEASE ST STE 101 HARLINGEN, TX 78550 (956) 364-6735 |
1811098304 | DR. NABEEL SARHILL MD Individual | Internal Medicine (Hematology & Oncology) | 2121 PEASE ST STE 101 HARLINGEN, TX 78550 (956) 425-8845 |
1760682835 | HAYAN MOUALLA MD Individual | Internal Medicine (Hematology & Oncology) | 2121 PEASE ST STE 101 HARLINGEN, TX 78550 (956) 425-8845 |
1053859728 | SYLVIA RODRIGUEZ MSN, APRN, FNP-BC Individual | Nurse Practitioner (Family) | 2121 PEASE ST STE 101 HARLINGEN, TX 78550 (956) 425-8845 |
1851702831 | DR. AWAD AHMED MD Individual | Radiology (Radiation Oncology) | 2121 PEASE ST STE 101 HARLINGEN, TX 78550 (956) 425-8845 |
Frequently Asked Questions
What is Vijian Dhevan M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003015421, registered as an "individual" on July 16, 2007
Where is Vijian Dhevan M.D. located?
The provider is located at 2121 Pease St Ste 101 Harlingen, Tx 78550 and the phone number is (956) 425-8845
Which is Vijian Dhevan M.D. specialty?
The provider's speciality is Surgery
How many years of experience does Vijian Dhevan M.D. have?
The provider has more than 16 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2007.
What insurance does Vijian Dhevan M.D. accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Vijian Dhevan M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Vijian Dhevan M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Documentation of Current Medications in the Medical Record, Falls: Screening for Future Fall Risk, Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Vijian Dhevan M.D.?
Medicare beneficiaries should expect a typical cost of $87.36 with an average copayment of $21.84 for new patient appointments. Established patients should expect a typical charge of $71.24 and an average copayment of 17.81. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Vijian Dhevan M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: VHS HARLINGEN HOSPITAL COMPANY LLC and HARLINGEN MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Vijian Dhevan M.D. was last updated on July 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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