VIJAYAKUMAR PRAVEEN (NPI# 1659378008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659378008 |
Entity Type | Individual |
Full Name | VIJAYAKUMAR PRAVEEN |
Credential | MD |
Practice Address |
4351 E Lohman Ave Suite 100 Las Cruces NM 88011-8259 |
Practice Telephone | 5755329077 |
Practice Fax Number | 5755329221 |
Mailing Telephone | 5755329077 |
Mailing Fax Number | 5755329221 |
Enumeration Date | 2005-06-30 |
Last Update Date | 2013-05-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD2009-0599 | NM | Allopathic & Osteopathic Physicians |
N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
043312 | CT | Allopathic & Osteopathic Physicians |
Street Address |
4351 E LOHMAN AVE SUITE 100 |
City | LAS CRUCES |
State | NM |
Zip Code | 88011-8259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306849310 | Surjit Reddy Moolamalla | Family Medicine | 4351 E Lohman Ave, Suite 401, Las Cruces, NM 88011-8259 | 2005-05-23 |
1174140362 | Sarbesh Rijal | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-07-03 |
1023633492 | Ekemini Benedict Usoro | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-06-11 |
1013440858 | Rachel Brandl | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2017-04-08 |
1952653180 | Cynthia Caranta | Nurse Practitioner | 4351 E Lohman Ave, Suite 202, Las Cruces, NM 88011-8259 | 2012-10-11 |
1487920757 | Compassionate Medicine of Southern Nm | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2012-03-30 |
1134418247 | Sarah Linse Bienenfeld | Obstetrics & Gynecology | 4351 E Lohman Ave, Suite 402, Las Cruces, NM 88011-8259 | 2011-03-30 |
1598085680 | Jonathon Struemph | Orthopaedic Surgery | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2010-06-11 |
1497074850 | Las Cruces Cardiology, LLC | Internal Medicine | 4351 E Lohman Ave, Suite 101, Las Cruces, NM 88011-8258 | 2010-05-25 |
1184956922 | Pinnacle Family Healthcare | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2010-02-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
Find all providers in zip 88011 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306101415 | Deepak Yadav | Pediatrics | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2012-07-05 |
1508828476 | Michael Ray Gomez | Pediatrics | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2006-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235468331 | Jessie Ruth Maxwell | Pediatrics | Pediatrics Neonatology Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-12-18 |
1730352154 | Dawn L Novak | Pediatrics | 3601 Yipee Calle Ct Nw, Albuquerque, NM 87120-2381 | 2008-04-07 |
1457534562 | Agatha R Norwood | Pediatrics | 201 Cedar Se, Ste 508, Albuquerque, NM 87106 | 2007-12-12 |
1235144783 | Dale C Alverson | Pediatrics | 1005 Columbia Dr Ne, Albuquerque, NM 87106-2626 | 2006-07-30 |
1497760961 | Kristi Watterberg | Pediatrics | 3 Rd Floor Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
1578578035 | Curtis Daniel Caldwell | Pediatrics | Department of Pediatrics Neonatology Msc10, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
1063953768 | Sheridan Childrens Healthcare Services of New Mexico Inc | Pediatrics | 117 E 19th St, Roswell, NM 88201-5151 | 2017-03-14 |
1992964357 | Lynda Adrouche-amrani | Pediatrics | 3917 West Rd, Los Alamos, NM 87544-2275 | 2008-06-02 |
1104047265 | Tara Lynn Dupont | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2007-05-02 |
1225122286 | Ronald L. Poland | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2006-10-03 |
Find all providers with the same taxonomy |
City | LAS CRUCES |
Zip Code | 88011 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.