Vasantha Kumaraiah,MD,SC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036048395 Issued in IL

Legal business name

VASANTHA KUMARAIAH,MD,SC

Practice address

17732 Oak Park Ave
Suite E
Tinley Park, IL 60477-3934

Phone

(708) 532-5500

Fax

(708) 532-5525

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vasantha Kumaraiah, MD

Title

Officer

Phone

(708) 532-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1427218452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE",
            "address_2": "SUITE E",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-532-5500",
            "fax_number": "708-532-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE",
            "address_2": "SUITE E",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-532-5500",
            "fax_number": "708-532-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASANTHA KUMARAIAH,MD,SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KUMARAIAH",
        "authorized_official_first_name": "VASANTHA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "708-532-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036048395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048395",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.