Healthcare Provider Details

I. General information

NPI: 1679026272
Provider Name (Legal Business Name): VIKASHSINGH PARSHIN RAMBHUJUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2016
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 OGLETOWN STANTON RD STE 2123
NEWARK DE
19713-8000
US

IV. Provider business mailing address

4735 OGLETOWN STANTON RD STE 2123
NEWARK DE
19713-8000
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-1929
  • Fax: 302-731-7695
Mailing address:
  • Phone: 302-623-1929
  • Fax: 302-731-7695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberC1-0026938
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberC1-0026938
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: