Rahulan, Vijil K

Rahulan, Vijil K is an sole proprietor health care provider with primary practice located at 2885 Sanford Ave Sw Suite No. 18083, Grandville MI 49418-1342. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rahulan, Vijil K can be contacted via phone (810) 982-7243.

Contact Information

Primary practice address
2885 Sanford Ave Sw Suite No. 18083 Grandville MI 49418-1342
Phone: (810) 982-7243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301078860 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4301078860 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301078860 Michigan

Profile Details

NPI number 1710953666
LBN Legal business name Rahulan, Vijil K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Oct 30th, 2017 - about 7 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 1710953666 NPPES
Michigan MEDICAID 4485080

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