Provider Demographics
NPI:1760426035
Name:HUILGOL, VIVEK RAMESH (MD)
Entity Type:Individual
Prefix:
First Name:VIVEK
Middle Name:RAMESH
Last Name:HUILGOL
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 1:1427 8TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3336
Mailing Address - Country:US
Mailing Address - Phone:415-999-1460
Mailing Address - Fax:
Practice Address - Street 1:3715 PRYTANIA ST
Practice Address - Street 2:SUITE 500
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3761
Practice Address - Country:US
Practice Address - Phone:415-999-1460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11292207RG0100X, 207RI0008X
LAMD.12692R207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAR12692OtherSTATE LICENSE
NV11292OtherSTATE LICENSE
LA2306189Medicaid
WI35756OtherSTATE LICENSE
AZ33250OtherSTATE LICENSE
IL36112743OtherSTATE LICENSE
ND9820OtherSTATE LICENSE
CO43006OtherSTATE LICENSE
MS00530341Medicaid
CAC51067OtherSTATE LICENSE
LAR12692OtherSTATE LICENSE
126829Medicare UPIN