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Individual

VIJAYA KAKANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
420 N 26TH ST, LAFAYETTE, IN 47904-2842
(765) 448-8000
(765) 448-7599
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
01061319A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000380953
ANTHEM PIN # / ARNETT
IN
01
000000491790
ANTHEM PIN # / OIGL
IN
01
11209994
CAQH NUMBER
IN
05
200539490
IN
Enumeration date
03/15/2006
Last updated
01/15/2021
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