Doctor Name: | DR. VIPIN DAS VILLGRAN |
NPI Number: | 1013262690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MT201895 |
Business Practice Address: | 5755 Cedar Ln Howard County General Hospital Columbia, MD - 210442912 |
Business Phone Number: | 4107208695 |
Business Fax Number: | 4107208580 |
Mailing Address: | 5900 Whale Boat Dr Unit 201, CLARKSVILLE |
State: | MD |
Postal Code: | 210291378 |
Phone Number: | 4129791891 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2012 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT201895 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |