Premier Vascular Care Pc

LBN: Premier Vascular Care Pc
Premier Vascular Care Pc is an health care organization with primary practice located at 1701 South Blvd E Ste B75 , Rochester Hills MI 48307-6122. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Premier Vascular Care Pc can be contacted via phone (248) 243-3935, or through Kadakol, Ajith via phone (586) 573-8030.

Contact Information

Primary practice address
1701 South Blvd E Ste B75 Rochester Hills MI 48307-6122
Phone: (248) 243-3935
Fax: (248) 284-7530
Website:
Map and Directions
Authorized official contact:
Name: Kadakol, Ajith Doctor of Medicine (MD)
Phone: (586) 573-8030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301093222 Michigan

Profile Details

NPI number 1639443773
LBN Legal business name Premier Vascular Care Pc
DBA Doing business as
Authorized official Kadakol, Ajith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2012
Last updated Mar 7th, 2023 - about last year

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 1639443773 NPPES
Michigan Other 5315045037 CONTROLLED SUBSTANCE LICENSE
Michigan Other 4301093222 CONTROLLED SUBSTANCE LICENSE
Michigan Other 1891742128 CONTROLLED SUBSTANCE LICENSE

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