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NPI Code Detail

MEDICARE: DR. VISWANATH PARAMESWAR VASUDEVAN M.D

MEDICARE:  DR. VISWANATH PARAMESWAR VASUDEVAN  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician142946NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558357558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VISWANATH PARAMESWAR VASUDEVAN M.D
Provider Business Mailing Address
First Line : 13 TURF LN
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2713
Country : US
Telephone Number : 516-484-2160
Fax Number : 516-484-5681
Provider Business Practice Location Address
First Line : 13 TURF LN
Second Line :
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-2713
Country : US
Telephone Number : 516-484-2160
Fax Number : 516-484-5681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2005
Last Update Date : 08/15/2013

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