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Individual
VAMSI ROKKAM
Active
Individual
VAMSI ROKKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40917
KY
207RN0300X
Nephrology Physician
Primary
49713
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528055
ANTHEM - CMA
KY
01
—
000023028O
HUMANA - CMA
KY
01
—
089054
SIHO
KY
01
—
0998869
MEDICARE - KY
KY
01
—
200877630
MEDICAID - IN
IN
01
—
2391971
CIGNA - CMA
KY
01
—
2858299000
PASSPORT ADVTG - CMA
KY
01
—
50015843
PASSPORT - CMA
KY
05
—
7100006180
—
IN
05
—
958702
—
AZ
01
—
P00439730
RAILROAD MEDICARE - KY
KY
01
—
TP218
MEDICAL LICENSE
KY
01
—
Z171026
MEDICARE PTAN - AZ
AZ
Enumeration date
05/11/2007
Last updated
12/04/2019
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