Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMARESH VYDYANATHAN, MD, MS
Active Sole ProprietorDR. AMARESH VYDYANATHAN, MD, MS is a Interventional Vascular Surgery healthcare provider located in BLOOMINGTON, Illinois. NPI 1336319094 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1336319094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2008 (18.409565937179 yrs)
- Last Updated
- Sep 11, 2012
- Licenses
-
57.009044 (OH)036124700 (IL)036124700 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1015 S MERCER AVEBLOOMINGTON, IL, 617017107Browse IL providers · Browse ZIP 61701
- Phone
- 3096624321
- Fax
- 3096614532
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RAMSIN BENYAMIN | MD, DABPM, FIPP | 1215924410 |
| BENJAMIN TAIMOORAZY | MD | 1134225790 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.