Naveen K Vijayam, | |
3535 Southern Blvd, Kettering, OH 45429-1221 | |
(937) 395-6665 | |
(937) 395-6668 |
Full Name | Naveen K Vijayam |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 3535 Southern Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033747092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34.016278 (Ohio) | Secondary |
207R00000X | Internal Medicine | STUDENT (Michigan) | Secondary |
208M00000X | Hospitalist | 34.016278 (Ohio) | Primary |
Entity Name | Kettering Independent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
Mailing Address | Practice Location Address |
---|---|
Naveen K Vijayam, 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (377) 621-3109 | Naveen K Vijayam, 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-6665 |
Dr. Steven Edward Young, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Subbaraju Budharaju, M.B.B.S. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Niranshiny Rahunanthan, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260 | |
Piam Shanehsaz, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Dr. Arshad Ali Shah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Dr. Rebecca Podurgiel Ramirez, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Johnna K Kern, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 |