Individual
SHEAHAHN VIKASH SOUNDRANAYAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 KENTUCKY AVE BAPTIST HEALTH PADUCAH, PADUCAH, KY 42003
(985) 873-2710
Mailing address
2651 PERKINS CREEK DR APT 527, PADUCAH, KY 42001-7520
(985) 870-5071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
438655
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
438655
PA
207RN0300X
Nephrology Physician
438655
PA
Other
Enumeration date
04/25/2019
Last updated
07/26/2025
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