VIKRAM DURAIRAJ M.D. NPI 1508009960

NPI Information

NPI: 1508009960
Provider Name: VIKRAM DURAIRAJ, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4010 S MULBERRY ST
PINE BLUFF, AR
ZIP 71603
Phone: (870) 541-6010
Get Directions

Vikram Durairaj, M.D. is a family medicine in Pine Bluff, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Vikram Durairaj, M.D. NPI is 1508009960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4010 S MULBERRY ST
PINE BLUFF, AR
ZIP 71603-000
Phone: (870) 541-6010

The NPI 1508009960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2009 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207P00000X	Emergency Medicine	Q4391	TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program		ARKANSAS	No
3	207Q00000X	Family Medicine	E-7644	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	348429703	MEDICAID	TEXAS
2	425928YRQY	MEDICARE OSCAR/CERTIFICATION	TEXAS
3	8FG872	OTHER	TEXAS	BCBS
4	348429704	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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