Organization
VHI MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB KETEYIAN (PRESIDENT)
(488) 911-2682
Entity
Organization
Contact information
Practice address
6416 SHERMAN PEAK CT, CASTLE PINES, CO 80108-9492
(248) 891-1268
Mailing address
38 MONTVALE AVE STE 315, STONEHAM, MA 02180-2446
(248) 891-1268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/04/2021
Last updated
06/17/2022
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