Healthcare Provider Details

I. General information

NPI: 1548092679
Provider Name (Legal Business Name): VPS OF USA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2024
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31500 W 13 MILE RD STE 100
FARMINGTON HILLS MI
48334-2172
US

IV. Provider business mailing address

31500 W 13 MILE RD STE 100
FARMINGTON HILLS MI
48334-2172
US

V. Phone/Fax

Practice location:
  • Phone: 844-509-4070
  • Fax: 800-509-3646
Mailing address:
  • Phone: 844-509-4070
  • Fax: 800-509-3646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JINIT SHAH
Title or Position: ADMIN
Credential: NP-C
Phone: 844-509-4070