Organization Active NPI

VK Iatros PLLC

  • Pediatrics Physician
  • Novi, MI
National Provider Identifier
1992390975
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VK IATROS PLLC
Practice address
47601 Grand River Ave FL Labor3
Novi, MI 48374-1233
Phone
(248) 910-3884
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Vijayakiran Kaza, M.DNPI 1851392625
Title
Organizer
Phone
(248) 910-3884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

47601 Grand River Ave FL Labor3
Novi, MI 48374-1233

Mailing address

24789 Toddy LN
Farmington Hills, MI 48335-2075
Phone (248) 910-3884

National Provider Directory

National Provider Directory

Locations

47601 Grand River Ave
#3
Novi, MI 48374
Phone (248) 910-3884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1992390975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24789 TODDY LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352075",
            "telephone_number": "248-910-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER AVE FL LABOR3",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741233",
            "telephone_number": "248-910-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VK IATROS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "VIJAYAKIRAN",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "248-910-3884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.