PUVALAI VIJAYKUMAR (NPI# 1629066386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629066386 |
| Entity Type | Individual |
| Full Name | PUVALAI VIJAYKUMAR |
| Credential | MD |
| Practice Address |
1707 Watson Blvd Warner Robins GA 31093-3606 |
| Practice Telephone | 4789298030 |
| Practice Fax Number | 4789298095 |
| Mailing Telephone | 4789298030 |
| Mailing Fax Number | 4789298095 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
18484 | WV | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35071686V | OH | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD041441E | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
084192 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0011803240001 | 05 | |
| WV | 0086343000 | 05 | |
| PA | 0011803240008 | 05 | |
| OH | 0188229 | 05 |
| Street Address |
1707 WATSON BLVD |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669982054 | Ashley Cooper Chancellor | Nurse Practitioner | 1707 Watson Blvd, Warner Robins, GA 31093-3606 | 2017-10-11 |
| 1942739768 | John Marshall Smith II | Nurse Practitioner | 1707 Watson Blvd, Warner Robins, GA 31093-3606 | 2017-06-06 |
| 1801101621 | April Gaddy Jones | Nurse Practitioner | 1707 Watson Blvd, Warner Robins, GA 31093-3606 | 2010-08-17 |
| 1598943045 | Nisreen A Jallad | Internal Medicine | 1707 Watson Blvd, Warner Robins, GA 31093-3606 | 2008-02-07 |
| 1124125794 | Sharon Louise Taylor | Nurse Practitioner | 1707 Watson Blvd, Warner Robins, GA 31093-3606 | 2006-09-17 |
| 1659313153 | Central Georgia Heart Institue, LLC | Internal Medicine | 1707 Watson Blvd, Suite 200, Warner Robins, GA 31093-3606 | 2006-06-11 |
| 1326091554 | Bonnie G. Bower | Nurse Practitioner | 1707 Watson Blvd, Suite 200, Warner Robins, GA 31093-3606 | 2006-05-18 |
| 1396794657 | Julie Ann Davey | Nurse Practitioner | 1707 Watson Blvd, Suite 200, Warner Robins, GA 31093-3606 | 2006-05-06 |
| 1629034079 | Rahil Kazi | Internal Medicine | 1707 Watson Blvd, Suite 200, Warner Robins, GA 31093-3606 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194252510 | Baptist Cardiology Inc | Internal Medicine | 2060 Dan Proctor Dr Ste 3300, Saint Marys, GA 31558-3894 | 2017-05-16 |
| 1639519929 | Bernard Sayed Harbieh | Internal Medicine | 2112 Lenox Park Cir Ne, Atlanta, GA 30319-5355 | 2013-07-01 |
| 1790929859 | Edward Kojo-eyiah Koomson | Internal Medicine | 425 W 3rd Ave Ste 700, Albany, GA 31701-1969 | 2009-04-20 |
| 1407099575 | Kavita Perumal Krishnasamy | Internal Medicine | 1267 Highway 54 W Ste 4100, Fayetteville, GA 30214-2112 | 2009-04-19 |
| 1306923495 | Macon Electrophysiology Associates | Internal Medicine | 639 Hemlock Str, Ste 100, Macon, GA 31201 | 2006-11-01 |
| 1902980527 | Joseph W Poku | Internal Medicine | 639 Hemlock St, Suite 100, Macon, GA 31201-6886 | 2006-10-24 |
| 1780779363 | Central Georgia Heart Center, PC | Internal Medicine | 1062 Forsyth St., Suite 1b, Macon, GA 31201 | 2006-10-03 |
| 1609820075 | Joon Ahn | Internal Medicine | 200 S Enota Dr Ne Ste 480, Gainesville, GA 30501-3473 | 2006-05-20 |
| 1821097296 | Stephen Peyton Prater | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2005-07-19 |
| 1447868278 | Peachtree Cardiology | Internal Medicine | 190 Greencastle Rd, Tyrone, GA 30290-2936 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
Please comment or provide details below to improve the information on PUVALAI VIJAYKUMAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.