Individual
VINODH JEEVANANTHAM
Active
Individual
VINODH JEEVANANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30512
OK
208M00000X
Hospitalist Physician
2007-01011
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145HT
BCBS
NC
01
—
199206
MEDCOST
NC
05
—
1992885545
—
VA
05
—
200545090A
—
OK
05
—
3810009020
—
WV
05
—
5906676
—
NC
01
—
810599
PARTNERS
NC
01
—
9164064
AETNA
NC
05
—
Q0052M
—
SC
Enumeration date
02/05/2007
Last updated
10/26/2020
Update your record
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