Healthcare Provider Details

I. General information

NPI: 1144348152
Provider Name (Legal Business Name): VINCENT E RAMPERSAUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 S SAGINAW ST SUITE 1800
FLINT MI
48507-2677
US

IV. Provider business mailing address

4800 S SAGINAW ST SUITE 1800
FLINT MI
48507-2677
US

V. Phone/Fax

Practice location:
  • Phone: 810-732-8336
  • Fax:
Mailing address:
  • Phone: 810-732-8336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number4301070717
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4301070717
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4301070717
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number4301070717
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number4301070717
License Number StateMI
# 6
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4301070717
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: