Kannan, Vidhyalakshmi

Kannan, Vidhyalakshmi is an individual health care provider with primary practice located at 10238 E Hampton Ave , Mesa AZ 85209-3316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Kannan, Vidhyalakshmi can be contacted via phone (480) 257-2669.

Contact Information

Primary practice address
10238 E Hampton Ave Mesa AZ 85209-3316
Phone: (480) 257-2669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP1-0029419 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 46525 Arizona

Profile Details

NPI number 1275724452
LBN Legal business name Kannan, Vidhyalakshmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Feb 6th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275724452 NPPES
Arizona Other 46525 AZ STATE MEDICAL LICENSE BOARD
Arizona Other 4663378067 AZ STATE MEDICAL LICENSE BOARD

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