| Doctor Name: | VIJAYALAKSHMI PURAM |
| NPI Number: | 1528015187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 27968 |
| Business Practice Address: | 172 S Mayo Trl Pikeville, KY - 415011515 |
| Business Phone Number: | 6062184742 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2917, PIKEVILLE |
| State: | KY |
| Postal Code: | 415022917 |
| Phone Number: | 6062183925 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2006 |
| NPI Last Update Date: | 06/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RH0003X |
| License Number: | 27968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Hematology & Oncology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |