VITAL INTENSIVIST INC NPI 1972203560

NPI Information

  • NPI: 1972203560
  • Provider Name: VITAL INTENSIVIST INC
  • Classification: Internal Medicine - 207RC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 11670 MARTIN RD
    WARREN, MI
    ZIP 48093
  • Phone: (586) 709-2264

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NPI Details

VITAL INTENSIVIST INC is a critical care medicine internal medicine in Warren, MI. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. VITAL INTENSIVIST INC NPI is 1972203560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11670 MARTIN RD
WARREN, MI
ZIP 48093-511
Phone: (586) 709-2264

The provider's authorized official is Madhavi Kanneganti .
The authorized official title is Ceo and has the following contact phone number (313) 549-8808.

The enumeration date for this NPI number is 3/3/2023 and was last updated on 3/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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