Provider Demographics
NPI:1437196904
Name:GAIHA, VISHNU DAS (MD)
Entity Type:Individual
Prefix:DR
First Name:VISHNU
Middle Name:DAS
Last Name:GAIHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 AUSTIN ST
Mailing Address - Street 2:WEST TOWER SUITE 602
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3439
Mailing Address - Country:US
Mailing Address - Phone:847-491-1977
Mailing Address - Fax:847-491-0949
Practice Address - Street 1:800 AUSTIN ST
Practice Address - Street 2:WEST TOWER SUITE 602
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3439
Practice Address - Country:US
Practice Address - Phone:847-491-1977
Practice Address - Fax:847-491-0949
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL475120Medicare ID - Type Unspecified
ILC38571Medicare UPIN