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Dr. Vijay Kata, MD
Student in an Organized Health Care Education/Training Program in Kankakee, Illinois
NPI 1154069839

Vijay Kata is a Student in an Organized Health Care Education/Training Program based in Kankakee, IL. Vijay Kata practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Vijay Kata is 1154069839 and holds a License No. (Illinois).

The current practice location address for Vijay Kata is 350 N Wall St, Kankakee, IL and can be reached out via phone at 815-928-6274.

Location: 350 N Wall St, Kankakee, IL, 60901-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154069839
Provider Name
Vijay Kata
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 N Wall St, Kankakee, IL, 60901-2901
Phone Number
815-928-6274
Fax Number
Provider Enumeration Date
05/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-928-6274
Fax Number
person
Provider Business Mailing Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-928-6274
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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