Healthcare Provider Details

I. General information

NPI: 1548730500
Provider Name (Legal Business Name): VIP VASCULAR INTERVENTIONAL CENTERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 12/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 SAMARITAN DR STE 101
SAN JOSE CA
95124-3909
US

IV. Provider business mailing address

2410 SAMARITAN DR STE 101
SAN JOSE CA
95124-3909
US

V. Phone/Fax

Practice location:
  • Phone: 408-371-8346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANUP K SINGH
Title or Position: OWNER
Credential: MD
Phone: 408-371-8346