| Vikram Durairaj, MD | |
|
4010 S Mulberry St, Pine Bluff, AR 71603-7000 | |
| (870) 541-6010 | |
| Not Available |
| Full Name | Vikram Durairaj |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4010 S Mulberry St, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508009960 | NPI | - | NPPES |
| 8FG872 | Other | TX | BCBS |
| 348429704 | Medicaid | TX | |
| 348429703 | Medicaid | TX |
| Entity Name | Travis County Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Texas Er Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235829359 PECOS PAC ID: 4880039338 Enrollment ID: O20240223003917 |
| Mailing Address | Practice Location Address |
|---|---|
| Vikram Durairaj, MD 4010 S Mulberry St, Pine Bluff, AR 71603-7000 Ph: (870) 541-6010 | Vikram Durairaj, MD 4010 S Mulberry St, Pine Bluff, AR 71603-7000 Ph: (870) 541-6010 |
Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516 | |
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594 | |
Dr. Sree Chellappan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010 | |
Manuel R Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 | |
Pavana Naga Gopi Krishna Tirumanisetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6009 | |
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622 | |
Margaret Ann Washington, A.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 |