Jeevanantham, Vinodh
Jeevanantham, Vinodh is an individual health care provider with primary practice located at 3400 S Douglas Blvd Suite 200, Oklahoma City OK 73150-1001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Jeevanantham, Vinodh can be contacted via phone (405) 737-7000.Contact Information
Primary practice address
3400 S Douglas Blvd Suite 200
Oklahoma City OK 73150-1001
Phone: (405) 737-7000
Fax: (405) 272-2898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2007-01011 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 30512 | Oklahoma |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1174662308 |
|---|---|
| LBN Legal business name | Jeevanantham, Vinodh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Oct 26th, 2020 - about 4 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 | 1174662308 | NPPES |
| Virginia | MEDICAID | 1992885545 | |
| Virginia | Other | 199206 | |
| Virginia | Other | 145HT | |
| Virginia | MEDICAID | Q0052M | |
| Virginia | MEDICAID | 200545090A | |
| Virginia | MEDICAID | 5906676 | |
| Virginia | Other | 9164064 | |
| Virginia | MEDICAID | 3810009020 | |
| Virginia | Other | 810599 |
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