Maldonado, Victor

Maldonado, Victor is an individual health care provider with primary practice located at 36175 Harper Ave , Clinton Township MI 48035-3274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Maldonado, Victor can be contacted via phone (586) 741-3772.

Contact Information

Primary practice address
36175 Harper Ave Clinton Township MI 48035-3274
Phone: (586) 741-3772
Fax: (586) 741-4604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301043142 Michigan
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 4301043142 Michigan

Profile Details

NPI number 1144288275
LBN Legal business name Maldonado, Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 25th, 2007 - about 18 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 1144288275 NPPES
Michigan Other 0Q26008 BCBS PROVIDER NUMBER
Michigan MEDICAID 4856349 BCBS PROVIDER NUMBER
Michigan Other 1006439 BCBS PROVIDER NUMBER
Michigan Other 0Q26008 BCBS PROVIDER NUMBER
Michigan Other Q26008059 BCBS PROVIDER NUMBER

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