Dr Kanaka Vasudevan, MD is a
Anesthesiology physician based in West Memphis, Arkansas. Dr Kanaka Vasudevan is licensed to practice in Arkansas (license number R-2699) and her current practice location is 200 W Tyler Ave, West Memphis, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 735-1500.
NPI number for Dr Kanaka Vasudevan is 1174589832 and her current mailing address is 200 W Tyler Ave, West Memphis, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174589832.
Physician's Profile
| Full Name | Dr Kanaka Vasudevan |
|---|
| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 200 W Tyler Ave, West Memphis, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174589832
- Provider Enumeration Date: 04/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kanaka Vasudevan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174589832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | R-2699 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kanaka Vasudevan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kanaka Vasudevan, MD
200 W Tyler Ave,
West Memphis, AR 72301-4223
Ph: (870) 735-1500 | Dr Kanaka Vasudevan, MD
200 W Tyler Ave,
West Memphis, AR 72301-4223
Ph: (870) 735-1500 |
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