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VASANTHA KUMARAIAH MD NPI 1245307305


NPI Information

NPI: 1245307305
Provider Name: VASANTHA KUMARAIAH, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
4400 W 95TH ST
SUITE 311
OAK LAWN, IL
ZIP 60453
Phone: (708) 424-9710
Get Directions

Vasantha Kumaraiah, MD is a hematology and oncology internal medicine in Oak Lawn, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Vasantha Kumaraiah, MD NPI is 1245307305. 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:

4400 W 95TH ST
SUITE 311
OAK LAWN, IL
ZIP 60453-654
Phone: (708) 424-9710

The NPI 1245307305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 3/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine036048395ILLINOISNo
2207RH0003XInternal MedicineHematology & Oncology036048395ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1496990MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2F400261801MEDICARE PINILLINOIS
3D13250MEDICARE UPIN
4F400261798MEDICARE PINILLINOIS
5036048395MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.