Kakumanu, Vijay

Kakumanu, Vijay is an individual health care provider with primary practice located at 630 E River St , Elyria OH 44035-5902. 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 / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kakumanu, Vijay can be contacted via phone (440) 988-1009.

Contact Information

Primary practice address
630 E River St Elyria OH 44035-5902
Phone: (440) 988-1009
Fax: (440) 960-1227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57.010735 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.092595 Ohio

Profile Details

NPI number 1225225816
LBN Legal business name Kakumanu, Vijay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Mar 27th, 2015 - about 11 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 1225225816 NPPES
Ohio MEDICAID 3025372
Ohio MEDICAID 2903960

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