Padma K Vedantam, M.D

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME77780 Issued in FL

Practice address

7369 Sheridan St, Suite 102
Pembroke Pines Community Based Outpatient Clinic
Hollywood, FL 33024

Phone

(954) 894-1668

Fax

(954) 894-6670

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174543144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14209 NW 19TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282819",
            "telephone_number": "954-432-2606",
            "fax_number": "954-894-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN ST, SUITE 102",
            "address_2": "PEMBROKE PINES COMMUNITY BASED OUTPATIENT CLINIC",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-894-1668",
            "fax_number": "954-894-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDANTAM",
        "first_name": "PADMA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME77780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allana Vaz, BCBA
• Franah Vazir-Marino
• Odalis Michelle Vazquez Colon
• Karinna O Vazquez Restrepo, PHD
• Zael Vazquez, M.D.
• Ilianne Vega Prado, MD
• Alejandro J Vega
• Arturo S. Vega, LMT 42267
• Beatriz Vega
• Emily Roman Vega, RNBC

• Geriatric Medicine (Internal Medicine) Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.