VKTR Visiting Physician Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VKTR VISITING PHYSICIAN GROUP PLLC

Practice address

4777 E Outer Dr
Detroit, MI 48234-3241

Phone

(248) 914-1681

NPI assigned

Nov 29, 2021

Organization subpart

No

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

Authorized official

Name

Benjamin Hollaway

Title

Financial Officer

Phone

(248) 914-1681

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1639837487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17663 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752756",
            "telephone_number": "248-914-1681",
            "fax_number": "248-557-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343241",
            "telephone_number": "248-914-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VKTR VISITING PHYSICIAN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "HOLLAWAY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "248-914-1681"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitalworks Staffing Agency LLC
• Chelsea Ann Vittiglio, CRNA
• Dana Vix, NP
• Ann Margaret Vizina, RN
• VKTR Labs LLC
• Maria Vlachaki, M.D.
• Kyriacos Vlachos
• Sari A. Vlahakis, M.D.
• Cat Hy Vo
• Kellie Huynh Vo, PA-C

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, 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 Nov 29, 2021; 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.