Mayda Vascular, Inc.

LBN: Mayda Vascular, Inc.
Mayda Vascular, Inc. is an health care organization with primary practice located at 3611 S Reed Rd Suite 105, Kokomo IN 46902-3828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Mayda Vascular, Inc. can be contacted via phone (765) 453-8504, or through Mayda, Jaro via phone (765) 453-8504.

Contact Information

Primary practice address
3611 S Reed Rd Suite 105 Kokomo IN 46902-3828
Phone: (765) 453-8504
Fax: (765) 453-8123
Website:
Map and Directions
Authorized official contact:
Name: Mayda, Jaro Doctor of Medicine (MD)
Phone: (765) 453-8504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01052526A Indiana

Profile Details

NPI number 1881737724
LBN Legal business name Mayda Vascular, Inc.
DBA Doing business as
Authorized official Mayda, Jaro Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 12th, 2010 - about 14 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 1881737724 NPPES
Indiana MEDICAID 200272550
Indiana Other DC0358

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