Durairaj, Vikram
Durairaj, Vikram is an sole proprietor health care provider with primary practice located at 4010 S Mulberry St , Pine Bluff AR 71603-7000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Durairaj, Vikram can be contacted via phone (870) 541-6010.Contact Information
Primary practice address
4010 S Mulberry St
Pine Bluff AR 71603-7000
Phone: (870) 541-6010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-7644 | Arkansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Arkansas | |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Q4391 | Texas |
Profile Details
| NPI number | 1508009960 |
|---|---|
| LBN Legal business name | Durairaj, Vikram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2009 |
| Last updated | Sep 2nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508009960 | NPPES |
| Texas | Other | 8FG872 | BCBS |
| Texas | MEDICAID | 348429704 | BCBS |
| Texas | MEDICAID | 348429703 | BCBS |
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