Vijay Kumar Kannam, M.D. Valid NPI

Individual provider · Family Medicine Physician · Gravette, AR

NPI

1699039610

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

E-9316 (AR)

Sex

Male

Sole proprietor

Yes

Enumerated

2012-06-25

Last updated

2023-10-16