Vivek Kaistha M.D.

NPI 1053311407 - Internal Medicine - 207R00000X

NPI Details
NPI 1053311407
Gender Male
Enumeration Date 07/28/2005
Last Updated 11/29/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
6703 159TH ST
TINLEY PARK IL, 60477-1781, US
Phone (708) 342-3000
Fax (708) 342-3060
Business Location
PO BOX 1119
MATTESON IL, 60443-4119, US
Phone (708) 747-5850
Fax (708) 747-9991
Taxonomy Code 207R00000X
License State Illinois
License Number 036088189
Remove 1053311407 NPI Number

According to our database, Dr. Vivek Kaistha M.D. NPI is 1053311407, taxonomy code is 207R00000X and license number is 036088189, license state is located at Illinois. Vivek Kaistha M.D. physically located at 6703 159th St, Tinley Park IL, 60477-1781. NPI Number Vivek Kaistha M.D. has the Individual type.

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1053311407 NPI number is provided on an as is basis without warranty of any kind. 1053311407 is maintained by the National Plan & Provider Enumeration System. The contents of Vivek Kaistha M.D. are for informational purposes only.