Vital Intensivist Inc

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

VITAL INTENSIVIST INC

Practice address

11670 Martin Rd
Warren, MI 48093-4511

Phone

(586) 709-2264

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Madhavi Kanneganti, M.D.

Title

Ceo

Phone

(313) 549-8808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1972203560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934511",
            "telephone_number": "586-709-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 MARTIN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934511",
            "telephone_number": "586-709-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL INTENSIVIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "KANNEGANTI",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-549-8808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virgin Girl Hair
• Kelli Lynne Virgin, D.O.
• Vision Associates PC
• Vision Institute of Michigan PC
• Visiting Physicians of Michigan PLLC
• Vital Trust Home Care LLC
• Giuseppe Vitale, DPT
• Katherine Anne Vitale, P.T.
• Morgan Vitale, PA-C
• Vitalize Home Care LLC

• Critical Care Medicine (Internal Medicine) Physician in Warren, MI
• Providers in Warren, MI by specialty
• Critical Care Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.