Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VIJAY KUMAR KANNAM, M.D.
Active Sole ProprietorDR. VIJAY KUMAR KANNAM, M.D. is a Family Medicine healthcare provider located in GRAVETTE, Arkansas. NPI 1699039610 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAVETTE, AR
Registration Details
- NPI Number
- 1699039610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2012 (14.133747435746 yrs)
- Last Updated
- Oct 16, 2023
- License
-
E-9316 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 JACKSON ST SWGRAVETTE, AR, 727369121Browse AR providers · Browse ZIP 72736
- Phone
- 4797875221
- Fax
- 4797875613
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAVETTE, AR
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH MARCUS POEMOCEAH | MD | 1881652592 |
| DR. DAVID JOHN TUCKER | MD | 1023076619 |
| DR. NANCY L JONES | MD | 1346208527 |
| DR. WILLIAM FRANK WEBB | MD | 1699723536 |
| RAYETTA EATON | MD | 1467407056 |
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.