Dr. Vasanth Kiran Coorg
MD | Pediatric Emergency Medicine | Male
Dr. Vasanth Kiran Coorg, MD is a Phoenix, Arizona based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Vasanth Kiran Coorg is
1919 E Thomas Rd, Phoenix, Arizona - 85016-7710. He can be contacted on phone at
602-546-2923.
Dr. Vasanth Kiran Coorg is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Vasanth Kiran Coorg is
1245564772 which was assigned by NPPES on 30 Sep, 2009 and it was last updated on 31 May, 2017.
Dr. Vasanth Kiran Coorg license number is
45843 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Arizona.
Dr. Vasanth Kiran Coorg has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Vasanth Kiran Coorg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Vasanth Kiran Coorg |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Vasanth Kiran Coorg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1919 E Thomas Rd
Phoenix, AZ, 85016-7710
United States |
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| Phone Number : | 602-546-2923 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245564772 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Sep, 2009 |
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| Last Updated On : | 31 May, 2017 |
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Medicare Participation:
Dr. Vasanth Kiran Coorg participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6507017274 |
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| Medicare Enrollment ID : | I20121107000164 |
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| Primary Specialty : | Emergency Medicine |
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| Medical School : | Texas A & M University System, Hsc, College Of Medicine |
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| Graduation Year : | 2009 |
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| Accepts Medicare? | Yes. Dr. Vasanth Kiran Coorg accepts medicare insurance. |
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Group Practice Association:
Dr. Vasanth Kiran Coorg is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Vasanth Kiran Coorg is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Phoenix Children's Hospital | 0446278584 | 278 | 1919 E Thomas Rd
Phoenix, AZ - 850167710
Ph: 6029331000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Vasanth Kiran Coorg are as mentioned. Primary taxonomy code for Dr. Vasanth Kiran Coorg, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 45843 | AZ |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 45843 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Vasanth Kiran Coorg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 733769 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3200 E Camelback Rd, Ste 250
Phoenix, AZ, 85018-2327
United States |
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| Phone Number : | 602-933-1815 |
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| Fax Number : | 602-933-1820 |
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Business Location:
Patients can refer following map for directions to
Dr. Vasanth Kiran Coorg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.