Rao, Vijaykumar
Rao, Vijaykumar is an individual health care provider with primary practice located at 17225 Paxton Ave , South Holland IL 60473-3757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rao, Vijaykumar can be contacted via phone (708) 474-8700.Contact Information
Primary practice address
17225 Paxton Ave
South Holland IL 60473-3757
Phone: (708) 474-8700
Fax: (708) 474-9730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036058283 | Illinois |
Profile Details
| NPI number | 1811967730 |
|---|---|
| LBN Legal business name | Rao, Vijaykumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jun 26th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811967730 | NPPES |
| Illinois | MEDICAID | 036058283 |
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