Provider Demographics
NPI:1821535170
Name:FLUSHOT LLC
Entity Type:Organization
Organization Name:FLUSHOT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADITI
Authorized Official - Middle Name:
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-234-2108
Mailing Address - Street 1:40 PROSPECT AVE
Mailing Address - Street 2:BUILDING 2-2F
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3737
Mailing Address - Country:US
Mailing Address - Phone:630-234-2108
Mailing Address - Fax:
Practice Address - Street 1:40 PROSPECT AVE
Practice Address - Street 2:BUILDING 2-2F
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3737
Practice Address - Country:US
Practice Address - Phone:630-234-2108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty