Provider Demographics
NPI:1003298340
Name:VASCULAR HEALTH CLINICS PLLC
Entity Type:Organization
Organization Name:VASCULAR HEALTH CLINICS PLLC
Other - Org Name:VASCULAR HEALTH CLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:PURVES
Authorized Official - Last Name:HAQQANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-254-6427
Mailing Address - Street 1:2125 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-5863
Mailing Address - Country:US
Mailing Address - Phone:989-254-6427
Mailing Address - Fax:989-607-1314
Practice Address - Street 1:2125 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-5863
Practice Address - Country:US
Practice Address - Phone:989-254-6427
Practice Address - Fax:989-607-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty