Mark C Garabedian, | |
6372 Mechanicsville Tpke, Suite 103, Mechanicsville, VA 23111-4705 | |
(804) 730-4690 | |
(804) 559-0333 |
Full Name | Mark C Garabedian |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 6372 Mechanicsville Tpke, Mechanicsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285792978 | NPI | - | NPPES |
01443329 | Medicaid | NY | |
C06115 | Other | VA | GROUP PTAN |
C06193 | Other | VA | GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1892751 (New York) | Secondary |
208000000X | Pediatrics | 0101245096 (Virginia) | Primary |
Entity Name | Bon Secours Memorial Regional Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881795557 PECOS PAC ID: 6507775293 Enrollment ID: O20040726000687 |
Mailing Address | Practice Location Address |
---|---|
Mark C Garabedian, 6372 Mechanicsville Tpke, Suite 103, Mechanicsville, VA 23111-4705 Ph: (804) 730-4690 | Mark C Garabedian, 6372 Mechanicsville Tpke, Suite 103, Mechanicsville, VA 23111-4705 Ph: (804) 730-4690 |
Aruna D. Dhru, M. D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9464 Chamberlayne Rd, Suite 101, Mechanicsville, VA 23116 Phone: 804-730-8040 Fax: 804-730-4161 | |
Christine M. Privitera, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6372 Mechanicsville Tpke, Suite 203, Mechanicsville, VA 23111 Phone: 804-730-4690 Fax: 804-559-0333 | |
Dr. Kimberly M. Phillips, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7347 Bell Creek Rd, Suite 100, Mechanicsville, VA 23111 Phone: 804-559-9430 Fax: 804-559-2037 | |
Emmanuel E. Eugenio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6372 Mechanicsville Tpke, Suite 103, Mechanicsville, VA 23111 Phone: 804-730-4690 Fax: 804-559-0333 | |
Lora Mccauley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7347 Bell Creek Rd Ste 100, Mechanicsville, VA 23111 Phone: 804-730-4690 Fax: 804-559-0333 | |
Louise Carolyn Washington-alston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6372 Mechanicsville Tpke, Suite 103, Mechanicsville, VA 23111 Phone: 804-730-4690 Fax: 804-559-0333 |