V Goburdhun MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

VG031529 Issued in MI

Legal business name

V GOBURDHUN MD PC

Practice address

14555 Levan Rd
403
Livonia, MI 48154-5083

Phone

(734) 462-4000

Fax

(734) 462-5997

NPI assigned

Jun 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vijay Goburdhun, M.D.

Title

Doctor

Phone

(734) 462-4000

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1346400868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "403",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-462-4000",
            "fax_number": "734-462-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "403",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-462-4000",
            "fax_number": "734-462-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V GOBURDHUN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "GOBURDHUN",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "734-462-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "VG031529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057661",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "0608215311",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urologic Clinic of Southeastern Michigan PLC
• Mario Urrutia
• US Medgroup of Michigan PC
• US Rehabilitation & Health Service Inc
• Mark Uzansky, DO
• Shannon Vacca
• Ashley Vaduva
• Elena Vaduva, MA, LPC, NCC
• Nital Vaghela
• Mehul Kishorchandra Vaidya, P.T.

• Cardiovascular Disease Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.