Provider Demographics
NPI:1891752234
Name:NAIR, VIJAYAKUMAR SOMASEKHARAN (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:VIJAYAKUMAR
Middle Name:SOMASEKHARAN
Last Name:NAIR
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:VIJAY
Other - Middle Name:
Other - Last Name:NAIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3815 HIGHLAND AVE
Mailing Address - Street 2:TRAUMA DEPT, GOOD SAMARITAN HOSPITAL
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1500
Mailing Address - Country:US
Mailing Address - Phone:630-275-3540
Mailing Address - Fax:630-275-5566
Practice Address - Street 1:3815 HIGHLAND AVE
Practice Address - Street 2:TOWER 2, SUITE 107
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1500
Practice Address - Country:US
Practice Address - Phone:630-275-7800
Practice Address - Fax:630-810-9240
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361082082086S0102X, 2086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH97414Medicare UPIN