VIJAYAKUMAR PRAVEEN


Address: 4351 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8259
Phone: 5755329077

VIJAYAKUMAR PRAVEEN (NPI# 1659378008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4351 E LOHMAN AVE
SUITE 100
City LAS CRUCES
State NM
Zip Code 88011-8259

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LAS CRUCES
Zip Code 88011

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Dataset Information

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.

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