Provider Demographics
NPI:1659979086
Name:MVP PHYSIO DR. LLC
Entity Type:Organization
Organization Name:MVP PHYSIO DR. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYUR
Authorized Official - Middle Name:VISHNUBHAI
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CERT DN
Authorized Official - Phone:334-322-2536
Mailing Address - Street 1:123 UMIYA NAGAR CIR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-5401
Mailing Address - Country:US
Mailing Address - Phone:334-322-2536
Mailing Address - Fax:
Practice Address - Street 1:123 UMIYA NAGAR CIR
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-5401
Practice Address - Country:US
Practice Address - Phone:334-322-2536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy