| Virtual Consult Md, Llc | |
|
46 Technology Pkwy S Ste 100 Norcross GA 30092-2906 | |
| (812) 720-3800 | |
| (812) 727-5469 |
| Full Name | Virtual Consult Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 46 Technology Pkwy S Ste 100, Norcross, Georgia |
| Authorized Official Name and Position | Neil Jariwala (OWNER) |
| Authorized Official Contact | 6782000048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Consult Md, Llc 1222 Professional Blvd Evansville IN 47714-8002 Ph: (812) 720-3800 | Virtual Consult Md, Llc 46 Technology Pkwy S Ste 100 Norcross GA 30092-2906 Ph: (812) 720-3800 |
| NPI Number | 1235763673 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 3678997913 |
|---|---|
| Medicare Enrollment ID | O20200721000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235763673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Neil Bhupendra Jariwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710206545 PECOS PAC ID: 0941425607 Enrollment ID: I20170126001656 |
| Provider Name | Janet Salimonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659892727 PECOS PAC ID: 7416280748 Enrollment ID: I20190531000811 |
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