Id Care PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ID CARE PC

Practice address

1808 S Pennsylvania Ave
Suite E
Lansing, MI 48910-1897

Phone

(517) 371-1500

Fax

(517) 371-1501

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Kalyani Vangala, M.D.NPI 1588696918

Title

President

Phone

(517) 364-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kalyani Swayamvara Vangala, M.D.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1588696918
  Authorized official Same address or phone

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1669656112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BRAMBLE DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231730",
            "telephone_number": "517-364-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 S PENNSYLVANIA AVE",
            "address_2": "SUITE E",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489101897",
            "telephone_number": "517-371-1500",
            "fax_number": "517-371-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "VANGALA",
        "authorized_official_first_name": "KALYANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-364-5590",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110C315710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshal Thomas Hyden
• Jada Irina I
• Olivia Lin Iavasile, PA-C
• Chris Uche Ibeson, B.S. PHARM
• Icare Concierge Personal Errand Services
• Brooklyn Idalski, DO
• Mohammed Habib Iddrisu, MD
• Christy A Idle, RN, MSN
• Monica Igielski, RN
• Implant Dentistry of Greater Lansing

• Infectious Disease Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.