# VASCULAR CENTER OF THE MIDWEST (VCM), LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265017446
- **Authorized official:** SHANKAR M SUNDARAM (PRESIDENT)
- **Authorized official phone:** (858) 829-4072

## Contact information

- **Practice address:** 3085 WOODMAN DR STE 320, DAYTON, OH 45420-1171
- **Practice address phone:** (937) 795-1090
- **Practice address fax:** (937) 795-1145
- **Mailing address:** 78 PARK RD, OAKWOOD, OH 45419-3001
- **Mailing address phone:** (858) 829-4072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 11/08/2024