Provider Demographics
NPI:1518556950
Name:UNIVERSITY VASCULAR SERVICES
Entity Type:Organization
Organization Name:UNIVERSITY VASCULAR SERVICES
Other - Org Name:SUMEET SUBHERWAL MD PS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SREEJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-528-1909
Mailing Address - Street 1:2054 KILDAIRE FARM RD # 229
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6614
Mailing Address - Country:US
Mailing Address - Phone:434-528-1909
Mailing Address - Fax:276-632-7555
Practice Address - Street 1:800 MEMORIAL DR STE C
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:27518-2454
Practice Address - Country:US
Practice Address - Phone:434-528-1909
Practice Address - Fax:276-632-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty