Vijay M. Haryani, MD, SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036072339 Issued in IL

Legal business name

VIJAY M. HARYANI, MD, SC

Practice address

375 N Wall St
Suite 310
Kankakee, IL 60901-3483

Phone

(815) 936-3240

Fax

(815) 936-3243

NPI assigned

Oct 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vijay M Haryani, MD

Title

Physician Owner

Phone

(815) 936-3240

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nelly Yacoub Kazzaz, MD

  • Cardiovascular Disease Physician
  • Liverpool, NY
  • NPI 1760470900
  NPD (past)
• James T. Thomas, M.D.

  • Cardiovascular Disease Physician
  • Conway, AR
  • NPI 1700845427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1013099225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "SUITE 310",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-936-3240",
            "fax_number": "815-936-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N WALL ST",
            "address_2": "SUITE 310",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013483",
            "telephone_number": "815-936-3240",
            "fax_number": "815-936-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY M. HARYANI, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "HARYANI",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "815-936-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036072339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "4632011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L Vanasten, CRNA
• Kevin Chacko Varghese, DO
• Nishita Rao Vattem, DO
• George Verghese, MD
• Karen A Verrill, NP
• Maria S Villegas, MD
• Elizabeth Anne Voogt, MA,RD, LDN
• Irfan Vora, DO
• Karin Marie Wagner, PHARMD
• Harris Waheed, MD

• Cardiovascular Disease Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.