Vijaykumar R. Phade Md

LBN: Vijaykumar R Phade Md Pc
Vijaykumar R. Phade Md is an health care organization with primary practice located at 496 Cherry St Bldg C Ste A, Bluefield WV 24701-3304. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Vijaykumar R Phade Md Pc can be contacted via phone (304) 327-7476, or through Phade, Vijaykumar R 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:
Map and Directions
Authorized official contact:
Name: Phade, Vijaykumar R Doctor of Medicine (MD)
Phone: (304) 327-7476

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12519 West Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 12519 West Virginia

Profile Details

NPI number 1952590432
LBN Legal business name Vijaykumar R Phade Md Pc
DBA Doing business as Vijaykumar R. Phade Md
Authorized official Phade, Vijaykumar R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2007
Last updated Jul 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952590432 NPPES
West Virginia Other 020000431 RAILROAD MEDICARE
West Virginia MEDICAID 007394322 RAILROAD MEDICARE
West Virginia MEDICAID 0128227000 RAILROAD MEDICARE

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