PREMIER VASCULAR CARE PC NPI 1639443773

NPI Information

NPI: 1639443773
Provider Name: PREMIER VASCULAR CARE PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1701 SOUTH BLVD E STE B75
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 243-3935
Get Directions

PREMIER VASCULAR CARE PC is a vascular surgery surgery in Rochester Hills, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PREMIER VASCULAR CARE PC NPI is 1639443773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1701 SOUTH BLVD E STE B75
ROCHESTER HILLS, MI
ZIP 48307-122
Phone: (248) 243-3935
Fax: (248) 284-7530

The provider's authorized official is Ajith Kadakol .
The authorized official title is Physician / Owner and has the following contact phone number (586) 573-8030.

The enumeration date for this NPI number is 3/7/2012 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	4301093222	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5315045037	OTHER	MICHIGAN	CONTROLLED SUBSTANCE LICENSE
2	4301093222	OTHER	MICHIGAN	LICENSE
3	1891742128	OTHER	MICHIGAN	INDV NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »