Individual
VANI VIJAYAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3470
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-5615
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
19800
MS
207U00000X
Nuclear Medicine Physician
36071489
IL
207U00000X
Nuclear Medicine Physician
C52110
CA
207U00000X
Nuclear Medicine Physician
L5169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050780
—
MS
05
—
149847901
—
TX
01
—
P00436436
RAILROAD MEDICARE
MS
01
—
P01620197
RAILROAD MEDICARE PTAN
MS
Enumeration date
09/23/2006
Last updated
05/09/2024
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