Reddy, Vivek Vankayala
Reddy, Vivek Vankayala is an individual health care provider with primary practice located at 500 N Wall St Ste C100 , Kankakee IL 60901-2942. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Reddy, Vivek Vankayala 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:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 036165354 | Illinois |
Profile Details
NPI number | 1396131835 |
---|---|
LBN Legal business name | Reddy, Vivek Vankayala |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2015 |
Last updated | Jun 28th, 2023 - about last year |
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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