Provider Demographics
NPI:1134909955
Name:VIP PHYSICIAN GROUP LLC
Entity type:Organization
Organization Name:VIP PHYSICIAN GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEMRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHINCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-914-8721
Mailing Address - Street 1:166 DEFENSE HWY STE 303
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8926
Mailing Address - Country:US
Mailing Address - Phone:250-914-8721
Mailing Address - Fax:240-513-7104
Practice Address - Street 1:166 DEFENSE HWY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-8919
Practice Address - Country:US
Practice Address - Phone:240-914-8721
Practice Address - Fax:240-513-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty