Vedanarayanan, Vettaikorumakankav V
Vedanarayanan, Vettaikorumakankav V is an sole proprietor health care provider with primary practice located at 401 Baptist Dr Ste 301 , Madison MS 39110-2012. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Vedanarayanan, Vettaikorumakankav V can be contacted via phone (601) 984-5210.Contact Information
Primary practice address
401 Baptist Dr Ste 301
Madison MS 39110-2012
Phone: (601) 984-5210
Fax: (601) 499-0936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 12953 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12953 | Mississippi |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 12953 | Mississippi |
Profile Details
| NPI number | 1174565469 |
|---|---|
| LBN Legal business name | Vedanarayanan, Vettaikorumakankav V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 23rd, 2019 - about 6 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 | 1174565469 | NPPES |
| Mississippi | Other | P01234014 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 1982156 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 155977 | RAILROAD MEDICARE PTAN |
| Mississippi | Other | PTAN P00462340 | RAILROAD MEDICARE PTAN |
| Mississippi | MEDICAID | 00019355 | RAILROAD MEDICARE PTAN |
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