Vijaykumar R Phade (NPI# 1538124680, PAC ID# 1557434461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1538124680 |
| PAC ID by PECOS | 1557434461 |
| Professional Enrollment ID | I20080724000595 |
| Full Name | Vijaykumar R Phade |
| Address |
234 Medical Park Dr Suite 100 Bluefield VA 24605-1532 |
| Gender | M |
| Graduation Year | 1970 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510071 | BLUEFIELD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 234 Medical Park Dr, Suite 100, Bluefield, VA 24605-1532 | ||
| 496 Cherry St C, Bluefield, WV 24701-3304 |
| Street Address |
234 MEDICAL PARK DR SUITE 100 |
| City | BLUEFIELD |
| State | VA |
| Zip | 24605-1532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick William Barker | General Surgery | Unit 101 Westwood Commons, Westwood Medical Park, Bluefield, VA 24605 | |
| Anthony D Rasi | General Practice | Infinity Medical Management, LLC | 231 Medical Park Dr, Suite 300, Bluefield, VA 24605-1531 |
| Jonathan R Hall | Internal Medicine | Derm One Pllc | 725 S College Ave, Bluefield, VA 24605-1640 |
| Alfred J Dyer | Physical Therapy | 134 S College Ave, Bluefield, VA 24605-1705 | |
| Catherine L Gillespie | Qualified Speech Language Pathologist | 108 /2 Spruce St, Bluefield, VA 24605-1738 | |
| Thomas E Brinegar | Family Medicine | 112 Spruce St, Suite 1, Bluefield, VA 24605-1755 | |
| Hiep V Le | Family Medicine | 12 Westwood Medical Park, Bluefield, VA 24605-2000 | |
| Stephen Degray | Family Medicine | 7 Westwood Medical Park, Bluefield, VA 24605-2000 | |
| Jeffrey A. Williams | Chiropractic | 1 Westwood Medical Park, Bluefield, VA 24605-2000 | |
| Syed Mahmood Ahmad | Rheumatology | 11 Westwood Medical Park, Bluefield, VA 24605-2000 | |
| Find all physicians in zip 24605 | |||
| City | BLUEFIELD |
| Zip Code | 24605 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BLUEFIELD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Vijaykumar R Phade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.