Profile - CDR.0000254

Profile - CDR.0000254
General Disclaimer: The information posted on the Healthcare Professions Profile Program (HPPP) website was provided by applicants for an original license; applicants for reinstatement or reactivation of an existing license; as well as by those individuals renewing a license. While the Division believes the information to be reliable, human or mechanical error remains a possibility, as does the delay in the posting or updating of information. The Division makes no guarantee as to the accuracy or completeness of the information and the information is not verified by the HPPP staff. The Division will take action to obtain compliance with the requirements to provide accurate and timely information as required by law when information is received that indicates information required by law has not been provided or is not accurate. Availability Disclaimer: Healthcare professionals who have an inactive or lapsed license are not required to complete a Healthcare Professions Profile until they apply for reactivation or reinstatement. If you have questions about a missing Healthcare Professions Profile or any missing documents that should be listed, please contact the Healthcare Professions Profile Program at dora_dpo_hppp@state.co.us or 303-894-5942. Malpractice Claims Disclaimer: Some studies have shown that there is no significant correlation between malpractice history and a healthcare professional's competence. At the same time, consumers should have access to malpractice information. To make the best healthcare decisions, you should view this information in perspective. You could miss an opportunity for high quality care by selecting a healthcare professional based solely on malpractice history. When considering malpractice data, please keep in mind: Malpractice histories tend to vary by profession and by specialty. Some professions or specialties are more likely than others to be the subject of litigation. You should take into account how long the healthcare professional has been in practice when considering malpractice averages. The incident causing the malpractice claim may have happened years before a payment is finally made. Sometimes, it takes a long time for a malpractice lawsuit to move through the legal system. Some healthcare professionals work primarily with high-risk patients. These healthcare professionals may have malpractice histories that are higher than average because they specialize in cases or patients who are at very high risk for problems. Settlement of a claim may occur for a variety of reasons that do not necessarily reflect negatively on the professional competence or conduct of the healthcare professional. A payment in settlement of a malpractice action or claim should not be construed as creating a presumption that malpractice has occurred. You may wish to discuss information provided, and malpractice generally, with your healthcare professional.
Name	Neeraj Kumar Vij
Credential	CDR.0000254

General Disclaimer:
The information posted on the Healthcare Professions Profile Program (HPPP) website was provided by applicants for an original license; applicants for reinstatement or reactivation of an existing license; as well as by those individuals renewing a license. While the Division believes the information to be reliable, human or mechanical error remains a possibility, as does the delay in the posting or updating of information. The Division makes no guarantee as to the accuracy or completeness of the information and the information is not verified by the HPPP staff. The Division will take action to obtain compliance with the requirements to provide accurate and timely information as required by law when information is received that indicates information required by law has not been provided or is not accurate.

Availability Disclaimer:
Healthcare professionals who have an inactive or lapsed license are not required to complete a Healthcare Professions Profile until they apply for reactivation or reinstatement. If you have questions about a missing Healthcare Professions Profile or any missing documents that should be listed, please contact the Healthcare Professions Profile Program at dora_dpo_hppp@state.co.us or 303-894-5942.

Malpractice Claims Disclaimer: Some studies have shown that there is no significant correlation between malpractice history and a healthcare professional's competence. At the same time, consumers should have access to malpractice information. To make the best healthcare decisions, you should view this information in perspective. You could miss an opportunity for high quality care by selecting a healthcare professional based solely on malpractice history. When considering malpractice data, please keep in mind: Malpractice histories tend to vary by profession and by specialty. Some professions or specialties are more likely than others to be the subject of litigation. You should take into account how long the healthcare professional has been in practice when considering malpractice averages. The incident causing the malpractice claim may have happened years before a payment is finally made. Sometimes, it takes a long time for a malpractice lawsuit to move through the legal system. Some healthcare professionals work primarily with high-risk patients. These healthcare professionals may have malpractice histories that are higher than average because they specialize in cases or patients who are at very high risk for problems. Settlement of a claim may occur for a variety of reasons that do not necessarily reflect negatively on the professional competence or conduct of the healthcare professional. A payment in settlement of a malpractice action or claim should not be construed as creating a presumption that malpractice has occurred. You may wish to discuss information provided, and malpractice generally, with your healthcare professional.

Name

Neeraj Kumar Vij

Credential

CDR.0000254

Healthcare Profile - Compact Physician Introduction

Healthcare Professions Profile | Introduction

Please be aware that this profile is only for your COMPACT PHYSICIAN license. Do not provide information for other license types you hold on this profile. You will be required to complete a profile for every license you hold that is included in the profiling requirement.

All information provided in this profile must be updated within 30 days of any change of information unless your profession's statute says otherwise, or unless the question specifies otherwise.

Healthcare Profile - Location of Practice

Healthcare Professions Profile | Location of Practice

1. Are you currently practicing in the healthcare profession associated with this profile?

Yes

Healthcare Profile - Location of Practice if Yes

Healthcare Professions Profile | Location of Practice

2. Practice Locations:

Address	City	State	Zip Code	Phone Number
3636 east shomi street	phoenix	Arizona	85044	(480) 203-9562

Healthcare Profile - Medical Education and Training

Healthcare Professions Profile | Education and Training

3. School or Education Level:

Foreign Trained

4. Please enter the year your initial Degree was achieved: Only enter the year in YYYY format

1986

Healthcare Profile - Other Licenses

Healthcare Professions Profile | Other Licenses

5. Have you ever held, or do you currently hold any other licenses in this profession from any other state, country or province?

Yes

Healthcare Profile - Other Licenses if Yes

Healthcare Professions Profile | Other Licenses

6. Other Licenses:

State	License Status	Year Originally Issued
Arizona	Active	2001

Healthcare Profile - Board Certifications

Healthcare Professions Profile | Board Certifications

7. Do you hold any current Board Certifications?

Yes

Healthcare Profile - Medical Board Certifications if Yes

Healthcare Professions Profile | Board Certifications

8. Board Certifications:

Certification

Internal Medicine

Healthcare Profile - Practice Specialties

Healthcare Professions Profile | Practice Specialties

9. Do you have a practice specialty in which you are appropriately trained and actively practicing?

Yes

Healthcare Profile - Medical Practice Specialties if Yes

Healthcare Professions Profile | Practice Specialties

10. Practice Specialties:

Specialty

Internal Medicine

Healthcare Profile - Colorado Hospital Affiliations

Healthcare Professions Profile | Colorado Hospital Affiliations

11. Do you have a current affiliation or clinical privileges with any Colorado Hospital?

Healthcare Profile - Other Facility and Out of State Hospital Affiliations

Healthcare Professions Profile | Other Facility and Out of State Hospital Affiliations

13. Do you have a current affiliation with any healthcare facility or a non-Colorado hospital?

Yes

Healthcare Profile - Other Facility and Out of State Hospital Affiliations if Yes

Healthcare Professions Profile | Other State Hospital Affiliations

14. Other Healthcare Facility Affiliations:

Facility	Affiliation Type	City	State
banner desert medical center	Admitting Privileges	mesa	Arizona

Healthcare Profile - Business Ownership

Healthcare Professions Profile | Business Ownership

15. Do you have a current business ownership interest in any healthcare-related business?

Healthcare Profile - Employer

Healthcare Professions Profile | Employer

17. Do you have an employer in the profession in which you are licensed or are applying for a license?

Healthcare Profile - Employment Contracts

Healthcare Professions Profile | Employment Contracts

19. Do you have a contract with any business whose mission relates to healthcare services or products where the value is greater than $5000 annually?

Healthcare Profile - Disciplinary Actions

Healthcare Professions Profile | Disciplinary Actions

21. Have you ever had public disciplinary action taken against your license by any board or licensing agency in any state or country?

Healthcare Profile - Restrictions and Suspensions

Healthcare Professions Profile | Restrictions and Suspensions

23. Have you ever entered into any agreement or stipulation to temporarily cease your practice or had a board order issued restricting or suspending your license?

Healthcare Profile - Healthcare Facility Actions

Healthcare Professions Profile | Healthcare Facility Actions

25. Since September 1, 1990, have you had any final actions resulting in involuntary limitations or probationary status on or reduction, nonrenewal, denial, revocation or suspension of medical staff membership or clinical privileges at a hospital or healthcare facility? You are not required to report a precautionary or administrative suspension unless you resigned your medical staff membership or clinical privileges while the suspension was pending.

Healthcare Profile - Termination of Employment

Healthcare Professions Profile | Termination of Employment

27. Have you ever been terminated by an employer for a reason that would be considered a violation of your profession's practice law?

Healthcare Profile - DEA Registration

Healthcare Professions Profile | DEA Registration

29. Have you ever had to involuntarily surrender your United States Drug Enforcement Agency Administration Registration?

Healthcare Profile - Convictions

Healthcare Professions Profile | Convictions

32. Since you were issued a license to practice your profession in any state or country, have you had any final criminal conviction(s) or plea arrangement(s) resulting from the commission or alleged commission of a felony or crime of moral turpitude in any jurisdiction?

Healthcare Profile - Malpractice Claims

Healthcare Professions Profile | Malpractice Claims

34. Since September 1, 1990, have you had any final judgment, entered into a settlement, or paid an arbitration award for malpractice?

Healthcare Profile - Malpractice Carrier Refusal

Healthcare Professions Profile | Malpractice Carrier Refusal

36. Have you been denied liability insurance, or has your liability insurance coverage been limited, restricted or terminated by the insurance carrier?

Healthcare Profile - Optional Narrative

Healthcare Professions Profile | Optional Narrative

38. Optional Narrative:

Healthcare Profile - Attestation

Healthcare Professions Profile | Attestation

By submitting this Healthcare Professions Profile to the Division of Professions and Occupations you are attesting that:

I am the person identified in this profile; or
You are authorized to submit information on behalf of the person identified in this profile; and
The information contained herein is true and correct to the best of my knowledge.

39. Submission Date:

12/10/2018

Compact Physician - Insurance Attestation

Compact Physician | Malpractice Insurance Attestation

40. The following question is not a part of the Healthcare Professions Profile statute and is instead collected to ensure compliance with the Physician Compact.

By selecting "Yes" below I attest that if I work as a Compact Physician in Colorado, I will hold the appropriate Medical Malpractice Insurance within the state of Colorado.

Yes

Review

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