Active NPI
Pankaj Vakharia MD PLLC
- Primary Care Clinic/Center
- Holly, MI
National Provider Identifier
1275706434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- PV033669
- Legal business name
- PANKAJ VAKHARIA MD PLLC
- Practice address
- 15224 Apollo Drive
Holly, MI 48442-1166 - Phone
- (248) 328-4000
- Fax
- (248) 328-1304
- NPI assigned
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pankaj N. Vakharia, M.D.
- Title
- Owner / President
- Phone
- (248) 328-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | PV033669 | MI | Primary |
Addresses
Primary practice location
15224 Apollo Drive
Holly, MI 48442-1166
Mailing address
3547 Inverness Drive
Rochester, MI 48306-4757
Phone (248) 328-4000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110203900 | Other | MI | R.R. MEDICARE |
| 4217778 | Other | MI | MEDICAID, FLINT |
| PV033669 | Other | MI | LICENSE |
| 1106338622 | Other | MI | BCBSM |
| 4217820 | Medicaid | MI | |
| 1144302 | Other | MI | HEALTHPLUS |
National Provider Directory
National Provider DirectoryLocations
1116 S Linden Rd
Flint, MI 48532
Phone (810) 230-0520
15224 Apollo Dr
Holly, MI 48442
Phone (248) 328-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1275706434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3547 INVERNESS DRIVE",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483064757",
"telephone_number": "248-328-4000",
"fax_number": "248-328-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15224 APOLLO DRIVE",
"city": "HOLLY",
"state": "MI",
"postal_code": "484421166",
"telephone_number": "248-328-4000",
"fax_number": "248-328-1304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANKAJ VAKHARIA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-09",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "VAKHARIA",
"authorized_official_first_name": "PANKAJ",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "248-328-4000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MI",
"license": "PV033669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "110203900",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID, FLINT",
"identifier": "4217778",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PV033669",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "1106338622",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4217820",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "1144302",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holly, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.