Individual
DR. VIGNESH THAMILARASU PACKIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
MD-46994
IA
208800000X
Urology Physician
125-061212
IL
208800000X
Urology Physician
63954
MN
208800000X
Urology Physician
69978
WI
208800000X
Urology Physician
Primary
MD-46994
IA
Other
Enumeration date
07/06/2012
Last updated
09/16/2020
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