MEDICARE: VIKAS MAAN 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
1	207R00000X	Internal Medicine Physician	MD491924C	PA
2	207R00000X	Internal Medicine Physician	86910	GA
3	207R00000X	Internal Medicine Physician	C0766	KY
4	208M00000X	Hospitalist Physician	MD491924C	PA
5	207R00000X	Internal Medicine Physician	ME129962	FL
6	208M00000X	Hospitalist Physician	036163321	IL
7	207R00000X	Internal Medicine Physician	0101054256	VA
8	208M00000X	Hospitalist Physician	ME129962	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01740150	OTHER	FL	RR MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1871521070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKAS MAAN MD

Provider Business Mailing Address
First Line	:	PO BOX 45443
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84145-0443
Country	:	US
Telephone Number	:	904-202-1032
Fax Number	:	904-376-4107

Provider Business Practice Location Address
First Line	:	1132 WILMINGTON ISLAND RD
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31410-4509
Country	:	US
Telephone Number	:	912-427-6811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	09/23/2025

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Directions to “ VIKAS MAAN MD” Practice Location

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