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Contact Information

VIJAYAKUMAR PRAVEEN, MD
4351 E LOHMAN AVE
SUITE 100
LAS CRUCES, NM88011-8259
 Phone: 575-532-9077
 Fax: 575-532-9221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for VIJAYAKUMAR PRAVEEN · (Male)

NPI # 1659378008
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 05/23/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 043312
  • NM License # MD2009-0599
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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