VELLAIAPPAN SOMASUNDARAM M.D. PLLC NPI 1063617173

NPI Information

NPI: 1063617173
Provider Name: VELLAIAPPAN SOMASUNDARAM M.D. PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
306 HOSPITAL DR STE 202C
SOUTH WILLIAMSON, KY
ZIP 41503
Phone: (606) 237-5800
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VELLAIAPPAN SOMASUNDARAM M.D. PLLC is a primary care clinic center in South Williamson, KY. VELLAIAPPAN SOMASUNDARAM M.D. PLLC NPI is 1063617173. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

306 HOSPITAL DR STE 202C
SOUTH WILLIAMSON, KY
ZIP 41503-096
Phone: (606) 237-5800
Fax: (606) 237-5858

The provider's authorized official is Vellaiappan Somasundaram .
The authorized official title is Owner and has the following contact phone number (606) 237-5800.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 4/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		35436	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3567P	KENTUCKY	No
3	261QP2300X	Clinic/Center	Primary Care	35436	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	600592001	MEDICAID	WEST VIRGINIA
2	1891745386	OTHER	KENTUCKY	INDIVIDUAL NPI
3	945802	MEDICARE PIN	KENTUCKY
4	64013253	MEDICAID	KENTUCKY
5	HO6095	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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