Vps Of Usa Pllc | |
31500 W 13 Mile Rd Ste 100 Farmington Hills MI 48334-2172 | |
(844) 509-4070 | |
(800) 509-3646 |
Full Name | Vps Of Usa Pllc |
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Speciality | Family Medicine |
Location | 31500 W 13 Mile Rd Ste 100, Farmington Hills, Michigan |
Authorized Official Name and Position | Jinit Shah (ADMIN) |
Authorized Official Contact | 8445094070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vps Of Usa Pllc 31500 W 13 Mile Rd Ste 100 Farmington Hills MI 48334-2172 Ph: (844) 509-4070 | Vps Of Usa Pllc 31500 W 13 Mile Rd Ste 100 Farmington Hills MI 48334-2172 Ph: (844) 509-4070 |
NPI Number | 1548092679 |
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Provider Enumeration Date | 08/16/2024 |
Last Update Date | 08/16/2024 |
Medicare PECOS PAC ID | 8628509494 |
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Medicare Enrollment ID | O20241003002253 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548092679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Satish R Khanzode |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275505695 PECOS PAC ID: 0840186060 Enrollment ID: I20040226000473 |
Provider Name | Ambujam R Krishnan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548231749 PECOS PAC ID: 0840274841 Enrollment ID: I20040617001469 |
Provider Name | Payal J Shah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063879369 PECOS PAC ID: 4688966823 Enrollment ID: I20160708001795 |
Provider Name | Jinit D Shah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548792534 PECOS PAC ID: 2062798101 Enrollment ID: I20170404001702 |
Provider Name | Karrin Burnadette Boylston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194411702 PECOS PAC ID: 0143685826 Enrollment ID: I20230502002671 |
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