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General NPI Number Information
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NPI Number | 1164009726
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Entity Type | Individual
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Provider Name | VISHNU HARIKUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 5253 CENTRAL AVE
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City | ST PETERSBURG
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State | FL
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Zip | 33710-8141
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Country | US
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Telephone | 727-388-6982
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 W HILLS AVE APT 3
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City | TAMPA
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State | FL
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Zip | 33606-3136
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Country | US
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Telephone | 913-461-4608
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | ME173002
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | ME173002
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | ME173002
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME173002
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License Number State | FL
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