Vijaykumar R Phade, MD | |
496 Cherry St, Bldg C Ste A, Bluefield, WV 24701-3304 | |
(304) 327-7476 | |
(304) 327-7476 |
Full Name | Vijaykumar R Phade |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 496 Cherry St, Bluefield, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538124680 | NPI | - | NPPES |
0218227000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 12519 (West Virginia) | Primary |
208600000X | Surgery | 0101037661 (Virginia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Vijaykumar R Phade, MD Po Box 1553, Bluefield, WV 24701 Ph: (304) 327-7476 | Vijaykumar R Phade, MD 496 Cherry St, Bldg C Ste A, Bluefield, WV 24701-3304 Ph: (304) 327-7476 |
Mr. Randall V Lester, MD Surgery Medicare: Medicare Enrolled Practice Location: 510 Cherry St, Suite 206, Bldg A, Bluefield, WV 24701 Phone: 304-327-1888 Fax: 304-327-1889 | |
Gowtham Roy Lingamaneni, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Cherry St, Bluefield, WV 24701 Phone: 304-327-1888 |