Haryani, Vijay M
Haryani, Vijay M is an individual health care provider with primary practice located at 500 N Wall St Ste C100 , Kankakee IL 60901-2942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Haryani, Vijay M can be contacted via phone (844) 404-4787.Contact Information
Primary practice address
500 N Wall St Ste C100
Kankakee IL 60901-2942
Phone: (844) 404-4787
Fax: (815) 936-3243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036072339 | Illinois |
Profile Details
| NPI number | 1487679205 |
|---|---|
| LBN Legal business name | Haryani, Vijay M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Mar 22nd, 2021 - about 3 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 | 1487679205 | NPPES |
| Illinois | MEDICAID | 036072339 |
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