Basic Information
Provider Information
NPI: 1144348152
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMPERSAUD
FirstName: VINCENT
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4800 S SAGINAW ST
Address2: SUITE 1800
City: FLINT
State: MI
PostalCode: 485072677
CountryCode: US
TelephoneNumber: 8107328336
FaxNumber:  
Practice Location
Address1: 4800 S SAGINAW ST
Address2: SUITE 1800
City: FLINT
State: MI
PostalCode: 485072677
CountryCode: US
TelephoneNumber: 8107328336
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/27/2007
LastUpdateDate: 01/23/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083X0100X4301070717MIN Allopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
208VP0014X4301070717MIY Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
207X00000X4301070717MIN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
208D00000X4301070717MIN Allopathic & Osteopathic PhysiciansGeneral Practice 

No ID Information.


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