Individual provider · Type 1 NPI

Vikram Vishwanath, MD

Student in an Organized Health Care Education/Training Program · Port Jefferson, NY

NPI number 1568212876 Active

Practice location

75 N Country Rd, Mather Hospital Radiology Reading Room
Port Jefferson, NY 11777

Call (516) 710-8870 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X341302 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568212876

Vikram Vishwanath, MD's National Provider Identifier is 1568212876, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on Apr 12, 2026.