| 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: Medicare Enrolled 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: Medicare Enrolled 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  |