| Vijay G Mistry Md Llc | |
|
6770 Mayfield Rd Ste 425 Mayfield Hts OH 44124-2299 | |
| (440) 478-4410 | |
| Not Available |
| Full Name | Vijay G Mistry Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6770 Mayfield Rd Ste 425, Mayfield Hts, Ohio |
| Authorized Official Name and Position | Vijay G Mistry (TAX ID OWNER) |
| Authorized Official Contact | 4404784410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay G Mistry Md Llc Po Box 660 Mentor OH 44061-0660 Ph: (440) 854-0217 | Vijay G Mistry Md Llc 6770 Mayfield Rd Ste 425 Mayfield Hts OH 44124-2299 Ph: (440) 478-4410 |
| NPI Number | 1255173480 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 12/03/2024 |
| Medicare PECOS PAC ID | 5698204972 |
|---|---|
| Medicare Enrollment ID | O20250131000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255173480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Vijay G Mistry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003893595 PECOS PAC ID: 2163410515 Enrollment ID: I20040504000855 |
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