Phade, Vijaykumar R

Phade, Vijaykumar R is an individual health care provider with primary practice located at 496 Cherry St Bldg C Ste A, Bluefield WV 24701-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Phade, Vijaykumar R can be contacted via phone (304) 327-7476.

Contact Information

Primary practice address
496 Cherry St Bldg C Ste A Bluefield WV 24701-3304
Phone: (304) 327-7476
Fax: (304) 327-7476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12519 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101037661 Virginia

Profile Details

NPI number 1538124680
LBN Legal business name Phade, Vijaykumar R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 2nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538124680 NPPES
West Virginia MEDICAID 0218227000

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