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NPI Code Detail

MEDICARE: VIKASH PRIYADARSHI MD

MEDICARE: VIKASH PRIYADARSHI MD
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
1207Q00000XFamily Medicine PhysicianME111767FL

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 : 1598995185
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIKASH PRIYADARSHI MD
Provider Business Mailing Address
First Line : PO BOX 361095
Second Line :
City : MELBOURNE
State : FL
Zip : 32936-1095
Country : US
Telephone Number : 321-462-4001
Fax Number : 321-622-6400
Provider Business Practice Location Address
First Line : 336 COGAN DR SE
Second Line :
City : PALM BAY
State : FL
Zip : 32909-6869
Country : US
Telephone Number : 321-460-4001
Fax Number : 321-622-6400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2009
Last Update Date : 03/14/2023

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