Vasanth Kumar Selvam, DO is a
Student In An Organized Health Care Education/training Program physician based in West Islip, New York. Vasanth Kumar Selvam is licensed to practice in * (Not Available) (license number ) and his current practice location is 1000 Montauk Hwy # 11795, West Islip, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 376-3000.
NPI number for Vasanth Kumar Selvam is 1053007047 and his current mailing address is 8139 267th St, Floral Park, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053007047.
Physician's Profile
| Full Name | Vasanth Kumar Selvam |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1000 Montauk Hwy # 11795, West Islip, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053007047
- Provider Enumeration Date: 04/13/2023
- Last Update Date: 04/14/2025
Medical Identifiers
Medical identifiers for Vasanth Kumar Selvam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053007047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 331951 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vasanth Kumar Selvam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vasanth Kumar Selvam, DO
8139 267th St,
Floral Park, NY 11004-1531
Ph: (718) 219-4096 | Vasanth Kumar Selvam, DO
1000 Montauk Hwy # 11795,
West Islip, NY 11795-4927
Ph: (631) 376-3000 |
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