Vijaykumar R Phade MD PC

NPI #1952590432 in Bluefield, West Virginia

Provider Information

NPI Number
1952590432
Entity Type
Organization
Organization Name
Vijaykumar R Phade MD PC
Primary Specialty
Surgery
Enumeration Date
Oct 19, 2007
Last Updated
Jul 16, 2008

Practice Location

Address
496 CHERRY ST
Address 2
BLDG C STE A
ZIP Code
24701-3304
Phone
(304) 327-7476

Authorized Official

Name
VIJAYKUMAR R PHADE, M.D.
Title
PRESIDENT
Phone
(304) 327-7476

Specialties & Taxonomy Codes

Specialty
Surgery - Vascular SurgeryVascular Surgery
Surgery

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