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Individual

ANILKUMAR N VINAYAKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 E BROADWAY STE 185-E, LOUISVILLE, KY 40202-3700
(502) 629-5455
(502) 629-4151
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
38717
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
38717
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000615042
ANTHEM - NNS
KY
01
000023036L
HUMANA - NNS
KY
01
00533130
MEDICARE - KY - NNS
KY
01
104597
SIHO - NNS
KY
05
200493420
IN
01
50023844
PASSPORT - NNS
KY
01
64085335
MEDICAID-KY - NNS
KY
01
P00726826
RR MCR KY - NNS
KY
Enumeration date
07/13/2006
Last updated
01/22/2021
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