Basic Information
| Provider Information | |||||||||
| NPI: | 1689961278 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADIKE | ||||||||
| FirstName: | VIVEKANANDA | ||||||||
| MiddleName: | SHARANAPPA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7500 STATE RD | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45255 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7500 STATE RD | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452552439 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136244500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2011 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4301098858 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 35.131887 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.