Individual
VIVEK KANUMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-3564
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME163640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260744
LIMITED LICENSE
MA
Enumeration date
04/17/2014
Last updated
09/06/2023
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