VIJAYKUMAR R PHADE

BLUEFIELD, WV
NPI1538124680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WV  12519)
Additional Taxonomies208600000X Surgery
(Licence: VA  0101037661)
Enumeration Date2006-04-20
Last Update Date2008-01-02
Business Address
-- VIJAYKUMAR R PHADE MD
496 CHERRY ST BLDG C STE A
BLUEFIELD, WV 24701-3304
Phone number: 304-327-7476
Mailing Address
-- VIJAYKUMAR R PHADE MD
PO BOX 1553
BLUEFIELD, WV 24701
Phone number: 304-327-7476