Basic Information
| Provider Information | |||||||||
| NPI: | 1962669069 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VINIKOOR | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | JEFFREY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 130 MASON FARM RD, 2ND FLOOR BIOINFORMATICS | ||||||||
| Address2: | CENTER FOR INFECTIOUS DISEASES, CB #7030 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662536 | ||||||||
| FaxNumber: | 9199666714 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 MASON FARM RD, 2ND FLOOR BIOINFORMATICS | ||||||||
| Address2: | CENTER FOR INFECTIOUS DISEASES, CB #7030 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27599 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662536 | ||||||||
| FaxNumber: | 9199666714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2008 | ||||||||
| LastUpdateDate: | 04/12/2012 | ||||||||
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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 | 282N00000X | 2010-00268 | NC | Y | Hospitals | General Acute Care Hospital | 282NC2000X | 2010-00268 | NC | N | Hospitals | General Acute Care Hospital | Children |
No ID Information.