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NPI Code Detail

MEDICARE: VANI VIJAYAKUMAR M.D.

MEDICARE: VANI VIJAYAKUMAR 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
1207U00000XNuclear Medicine PhysicianC52110CA
2207U00000XNuclear Medicine Physician36071489IL
3207U00000XNuclear Medicine PhysicianL5169TX
4207U00000XNuclear Medicine Physician19800MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00436436OTHERMSRAILROAD MEDICARE
2P01620197OTHERMSRAILROAD MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245330935
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANI VIJAYAKUMAR M.D.
Provider Business Mailing Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-815-5615
Fax Number :
Provider Business Practice Location Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2483
Country : US
Telephone Number : 504-842-3470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2006
Last Update Date : 05/09/2024

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