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Individual
VASANTHA KUMARAIAH
Active
Individual
VASANTHA KUMARAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036048395
IL
207RH0003X
Hematology & Oncology Physician
Primary
036048395
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048395
—
IL
Enumeration date
11/30/2006
Last updated
03/07/2016
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