Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 29832 | AL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 29832 | AL |
NPI | 1174727564 |
---|---|
Provider Name | Akshai Janakiram Vitheswaran |
First Address | Huntsville, AL 35801-4421 |
Second Address | Huntsville, AL 35801-5134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 06/01/2022 |