Healthcare Provider Details
I. General information
NPI: 1285373720
Provider Name (Legal Business Name): VOCA TELESPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1806 15TH AVE SW
OLYMPIA WA
98502-0524
US
IV. Provider business mailing address
1806 15TH AVE SW
OLYMPIA WA
98502-0524
US
V. Phone/Fax
- Phone: 718-737-5573
- Fax:
- Phone: 718-737-5573
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAROON
YOUSAF
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 718-737-5573