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NPI Code Detail

MEDICARE: DR. KALPANA VISHNUPAD M.D.

MEDICARE: DR. KALPANA VISHNUPAD 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
12084P0800XPsychiatry Physician35-073908OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000004288OTHEROHANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598755662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KALPANA VISHNUPAD M.D.
Provider Business Mailing Address
First Line : 474 N YELLOW SPRINGS ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2463
Country : US
Telephone Number : 937-399-9500
Fax Number : 937-342-4236
Provider Business Practice Location Address
First Line : 474 N YELLOW SPRINGS ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2463
Country : US
Telephone Number : 937-399-9500
Fax Number : 937-342-4236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2005
Last Update Date : 01/04/2017

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