Individual
DR. VIKRAM JOSHUA PREMKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 227-6008
(201) 530-7981
Mailing address
1430 TULANE AVE # SL-50, NEW ORLEANS, LA 70112-2699
(504) 988-7809
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA10779500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0743542
—
NJ
Enumeration date
04/14/2014
Last updated
04/24/2023
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