Provider Demographics
NPI:1205038569
Name:A H VS LLC
Entity Type:Organization
Organization Name:A H VS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-562-2000
Mailing Address - Street 1:801 INTERNATIONAL PKWY
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4762
Mailing Address - Country:US
Mailing Address - Phone:407-562-2000
Mailing Address - Fax:407-562-2001
Practice Address - Street 1:801 INTERNATIONAL PKWY
Practice Address - Street 2:6TH FLOOR
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4762
Practice Address - Country:US
Practice Address - Phone:407-562-2000
Practice Address - Fax:407-562-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93131174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL26003Medicare UPIN
WIAC841Medicare PIN