Kumaraiah, Vasantha

Kumaraiah, Vasantha is an individual health care provider with primary practice located at 4400 W 95Th St Suite 311, Oak Lawn IL 60453-2654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Kumaraiah, Vasantha can be contacted via phone (708) 424-9710.

Contact Information

Primary practice address
4400 W 95Th St Suite 311 Oak Lawn IL 60453-2654
Phone: (708) 424-9710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036048395 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036048395 Illinois

Profile Details

NPI number 1245307305
LBN Legal business name Kumaraiah, Vasantha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Mar 7th, 2016 - about 10 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 1245307305 NPPES
Illinois MEDICAID 036048395

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