Northeast Philadelphia Vascular Surgeons Pc

LBN: Northeast Philadelphia Vascular Surgeons Pc
Northeast Philadelphia Vascular Surgeons Pc is an health care organization with primary practice located at 2000 Grant Ave Suite 201, Philadelphia PA 19115-4378. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Northeast Philadelphia Vascular Surgeons Pc can be contacted via phone (215) 969-3944, or through Mohan, Chittur R via phone (215) 969-3944.

Contact Information

Primary practice address
2000 Grant Ave Suite 201 Philadelphia PA 19115-4378
Phone: (215) 969-3944
Fax: (215) 969-3886
Website:
Map and Directions
Authorized official contact:
Name: Mohan, Chittur R Doctor of Medicine (MD)
Phone: (215) 969-3944

Health care specialties

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

Profile Details

NPI number 1881625200
LBN Legal business name Northeast Philadelphia Vascular Surgeons Pc
DBA Doing business as
Authorized official Mohan, Chittur R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 6th, 2012 - about 12 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 1881625200 NPPES
Pennsylvania MEDICAID 0011942860002
Pennsylvania Other 0595939
Pennsylvania Other 0000569420
Pennsylvania Other 0748057000

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