Individual
VIKAS PATTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 AIRPORT BLVD, MELBOURNE, FL 32901-2909
(321) 722-5200
Mailing address
400 EAST SHERIDAN RD, MELBOURNE, FL 32901-3122
(321) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME121932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015266100
—
FL
Enumeration date
04/25/2012
Last updated
04/28/2016
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