Provider Demographics
NPI:1043506884
Name:VIRPARIA, VASUDEV MUKUNDRAI (MD)
Entity type:Individual
Prefix:
First Name:VASUDEV
Middle Name:MUKUNDRAI
Last Name:VIRPARIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 STATE RD STE 1700
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1812
Mailing Address - Country:US
Mailing Address - Phone:223-287-8155
Mailing Address - Fax:717-312-3153
Practice Address - Street 1:2160 STATE RD STE 1700
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-1812
Practice Address - Country:US
Practice Address - Phone:223-287-8155
Practice Address - Fax:717-312-3153
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD468748207RI0011X
NC2018-01098207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program