Healthcare Provider Details

I. General information

NPI: 1396786430
Provider Name (Legal Business Name): VPA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24681 NORTHWESTERN HWY STE. 100
SOUTHFIELD MI
48075-2305
US

IV. Provider business mailing address

PO BOX 1500
NOVI MI
48376-1500
US

V. Phone/Fax

Practice location:
  • Phone: 248-352-2000
  • Fax: 248-358-4962
Mailing address:
  • Phone: 248-324-0700
  • Fax: 248-324-1477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERLINDA DELPILAR
Title or Position: OWNER
Credential: MD
Phone: 248-383-0500