| Mediko, Pc | |
|
301 Concourse Blvd Suite 210 Glen Allen VA 23059-5643 | |
| (804) 433-1010 | |
| (804) 433-1055 |
| Full Name | Mediko, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 301 Concourse Blvd, Glen Allen, Virginia |
| Authorized Official Name and Position | Kaveh Ofogh (PRESIDENT) |
| Authorized Official Contact | 8044331040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediko, Pc 301 Concourse Blvd Suite 210 Glen Allen VA 23059-5643 Ph: (804) 433-1010 | Mediko, Pc 301 Concourse Blvd Suite 210 Glen Allen VA 23059-5643 Ph: (804) 433-1010 |
| NPI Number | 1659658805 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659658805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Virginia) | Primary |
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