Provider Demographics
NPI:1841262482
Name:MAKHIJA, VINOD KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:VINOD
Middle Name:KUMAR
Last Name:MAKHIJA
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 1:234 MEDICAL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-1181
Mailing Address - Country:US
Mailing Address - Phone:606-784-6641
Mailing Address - Fax:606-780-2373
Practice Address - Street 1:234 MEDICAL CIR
Practice Address - Street 2:MOREHEAD CLINIC
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-1100
Practice Address - Country:US
Practice Address - Phone:606-784-6641
Practice Address - Fax:606-780-2373
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31935207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64319353Medicaid
KY1274578Medicare ID - Type Unspecified
KY64319353Medicaid