VIBHA VIG MD PA


Address: 303 Ellis St., Carthage, MS 39051-4014
Phone: 6012670544

VIBHA VIG MD PA (NPI# 1255424016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255424016
Entity Type Organization
Organization Name VIBHA VIG MD PA
Other Organization Name SUNSHINE MEDICAL CLINIC
Practice Address 303 Ellis St.
Carthage
MS 39051-4014
Mailing Address Po Box 626
Canton
MS 39046-0626
Practice Telephone 6012670544
Practice Fax Number 6012675092
Mailing Telephone 6012670544
Mailing Fax Number 6012675092
Enumeration Date 2006-10-02
Last Update Date 2008-07-21
Authorized Official Name VIBHA VIG (OWNER)
Authorized Official Telephone 6018555287
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
13655 MS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 09015926 05

Other Provider/Organization Names

Other Name Type Code
Sunshine Medical Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255413639 Vibha Vig Md Pa Clinic/Center 156 River Oaks Dr, Suite A, Canton, MS 39046-5376 2006-10-19
1013233857 Vibha Vig Md Pa Clinic/Center 110 N Jerry Clower Blvd, Suite M, Yazoo City, MS 39194-8669 2010-04-19

Office Location

Street Address 303 ELLIS ST.
City CARTHAGE
State MS
Zip Code 39051-4014

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City CARTHAGE
Zip Code 39051

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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