=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437061132
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VIREON VITAL CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2026
-----------------------------------------------------
Last Update Date | 09/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3707 POINCIANA DR APT 82
-----------------------------------------------------
City | SANTA CLARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95051-2040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-365-4926
-----------------------------------------------------
Fax | 979-365-4926
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3707 POINCIANA DR APT 82
-----------------------------------------------------
City | SANTA CLARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95051-2040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-365-4926
-----------------------------------------------------
Fax | 979-365-4926
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BHANU PRATAP RANA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 979-365-4926
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------