Vijaykumar R. Phade Md
LBN: Vijaykumar R Phade Md Pc
Vijaykumar R. Phade Md is an health care organization with primary practice located at 496 Cherry St Bldg C Ste A, Bluefield WV 24701-3304. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Vijaykumar R Phade Md Pc can be contacted via phone (304) 327-7476, or through Phade, Vijaykumar R via phone (304) 327-7476.
Contact Information
Primary practice address
496 Cherry St Bldg C Ste A
Bluefield WV 24701-3304
Phone: (304) 327-7476
Fax: (304) 327-7476
Website:
Authorized official contact:
Name: Phade, Vijaykumar R Doctor of Medicine (MD)
Phone: (304) 327-7476
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12519 | West Virginia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 12519 | West Virginia |
Profile Details
| NPI number | 1952590432 |
|---|---|
| LBN Legal business name | Vijaykumar R Phade Md Pc |
| DBA Doing business as | Vijaykumar R. Phade Md |
| Authorized official | Phade, Vijaykumar R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2007 |
| Last updated | Jul 16th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952590432 | NPPES |
| West Virginia | Other | 020000431 | RAILROAD MEDICARE |
| West Virginia | MEDICAID | 007394322 | RAILROAD MEDICARE |
| West Virginia | MEDICAID | 0128227000 | RAILROAD MEDICARE |
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