Pankaj N Vakharia, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

PV033669 Issued in MI

Practice address

15224 Apollo Dr
Holly, MI 48442-1168

Phone

(248) 328-4000

Fax

(248) 328-1304

NPI assigned

Dec 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pankaj Vakharia MD PLLC

  • Primary Care Clinic/Center
  • Holly, MI
  • NPI 1275706434
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558422774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 INVERNESS DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483064757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15224 APOLLO DR",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421168",
            "telephone_number": "248-328-4000",
            "fax_number": "248-328-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKHARIA",
        "first_name": "PANKAJ",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "PV033669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Tubergen, OTD, OTR/L
• Erin Uehara
• Emily Marie Ulewicz, OTRL
• Ultimate Athlete Sports Rehabilitation & Performance Training
• Unitycare Connections LLC
• Alexandra Vasile, DPT
• Veritas Medical Billing Specialist, LLC
• Village of Holly (Village of Holly Fire Department)
• Terri Vossen, DSW
• Jeffrey Walker

• Internal Medicine Physician in Holly, MI
• Providers in Holly, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.