Provider Demographics
NPI:1053977801
Name:VASCULAR HEALTH LLC
Entity type:Organization
Organization Name:VASCULAR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MIR
Authorized Official - Middle Name:M
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-952-5353
Mailing Address - Street 1:77 SCHANCK RD STE B-3
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2989
Mailing Address - Country:US
Mailing Address - Phone:732-952-5353
Mailing Address - Fax:908-603-0191
Practice Address - Street 1:77 SCHANCK RD STE B-3
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2989
Practice Address - Country:US
Practice Address - Phone:732-952-5353
Practice Address - Fax:908-603-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty