Dr. Vijay Kumar Kannam, MD
Dr. Vijay Kumar Kannam, MD is a Family Practice in Gravette, Arkansas. Qualified in 2015, 11 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.
- Years since qualifying
- 11
- Licensed in
- AR
- In the registry since
- 2012
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1101 Jackson St SWGravette, AR 72736-9121
Phone: (479) 787-5221
Fax: (479) 787-5613
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 102 Russell Rd, Rogers, AR 72756-9319 — (479) 278-7189
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence E-9316 (AR) |
|---|
Record details
| NPI number | 1699039610 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 25, 2012 |
| Last updated in NPPES | October 16, 2023 |
| Certification date | October 16, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Sgoh Acquisition Inc — 93 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Gravette
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Rayetta Eaton, MD
1101 Jackson St SW, Gravette, AR 72736-9121 · (479) 787-5291
-
Dr. Nancy L Jones, MD
1101 Jackson St SW, Gravette, AR 72736-9121 · (479) 787-5221
-
Dr. Kenneth Marcus Poemoceah, MD
1102 Jackson St SW, Gravette, AR 72736-9121 · (479) 787-5221
-
Dr. David John Tucker, MD
1101 Jackson St SW, Gravette, AR 72736-9121 · (479) 787-5221
-
Dr. William Frank Webb, MD
1101 Jackson St SW, Gravette, AR 72736-9121 · (479) 787-5221