Individual
FNU VIKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD FL ANNEX1, NEWPORT NEWS, VA 23601
(757) 594-2074
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101265767
VA
207RC0000X
Cardiovascular Disease Physician
MT207956
PA
Other
Enumeration date
11/07/2013
Last updated
07/01/2019
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