Provider Demographics
NPI:1902450869
Name:VKP MEDICAL, PLLC
Entity Type:Organization
Organization Name:VKP MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PILLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-686-7816
Mailing Address - Street 1:275 NORTHPOINTE PKWY STE 50
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1895
Mailing Address - Country:US
Mailing Address - Phone:716-834-1191
Mailing Address - Fax:716-639-1382
Practice Address - Street 1:2733 WEHRLE DR STE 400-500
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7348
Practice Address - Country:US
Practice Address - Phone:716-320-3050
Practice Address - Fax:716-320-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty