Provider Demographics
NPI:1174727564
Name:JANAKIRAM VITHESWARAN, AKSHAI (MD)
Entity type:Individual
Prefix:
First Name:AKSHAI
Middle Name:
Last Name:JANAKIRAM VITHESWARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AKSHAI
Other - Middle Name:
Other - Last Name:JANAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:101 SIVLEY RD SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4421
Mailing Address - Country:US
Mailing Address - Phone:256-265-1000
Mailing Address - Fax:
Practice Address - Street 1:201 SIVLEY RD SW
Practice Address - Street 2:STE.500
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5134
Practice Address - Country:US
Practice Address - Phone:256-519-8362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29832207QG0300X, 207QH0002X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine