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VASANTH KATTALAI KAILASAM MD NPI 1275882730


NPI Information

NPI: 1275882730
Provider Name: VASANTH KATTALAI KAILASAM, MD
Classification: Psychiatry & Neurology - 2084P2900X
Entity Type: Individual

Specialization: Pain Medicine

Organization: EASTERN MAINE MEDICAL CENTER

PECOS Registration: Yes

Address:
925 UNION ST STE 2
BANGOR, ME
ZIP 04401
Phone: (207) 973-4155
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Vasanth Kattalai Kailasam, MD is a pain medicine psychiatry neurology in Bangor, ME with 14 years of experience. The provider is a neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Vasanth Kattalai Kailasam, MD NPI is 1275882730. 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:

925 UNION ST STE 2
BANGOR, ME
ZIP 04401
Phone: (207) 973-4155

The NPI 1275882730 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 8/30/2012 and was last updated on 12/13/2018.


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
12084P2900XPsychiatry & NeurologyPain MedicineMD21916MAINEYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32084P2900XPsychiatry & NeurologyPain Medicine60723587WASHINGTONNo

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: 11/14/2023

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.