Healthcare Provider Details

I. General information

NPI: 1770671935
Provider Name (Legal Business Name): VHC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3790 CAPITAL AVE SW
BATTLE CREEK MI
49015-8332
US

IV. Provider business mailing address

3790 CAPITAL AVE SW
BATTLE CREEK MI
49015-8332
US

V. Phone/Fax

Practice location:
  • Phone: 269-979-6310
  • Fax: 269-979-8807
Mailing address:
  • Phone: 269-979-6310
  • Fax: 269-979-8807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TAREK EL SHAARAWY
Title or Position: PRACTICE OWNER
Credential: M.D
Phone: 269-979-6310