| Virtual Consult Md, Llc | |
|
155 Glen Cove Marina Rd E Ste 100 Vallejo CA 94591-7284 | |
| (707) 980-6257 | |
| (707) 980-6692 |
| Full Name | Virtual Consult Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 155 Glen Cove Marina Rd E Ste 100, Vallejo, California |
| Authorized Official Name and Position | Amar Anand (CEO) |
| Authorized Official Contact | 7079806257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Consult Md, Llc 712 Bancroft Road Ste 905 Walnut Creek CA 94598-1531 Ph: (707) 980-6257 | Virtual Consult Md, Llc 155 Glen Cove Marina Rd E Ste 100 Vallejo CA 94591-7284 Ph: (707) 980-6257 |
| NPI Number | 1073144762 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Medicare PECOS PAC ID | 0446674907 |
|---|---|
| Medicare Enrollment ID | O20200717000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073144762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Amar Anand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407297005 PECOS PAC ID: 6709157365 Enrollment ID: I20190703002235 |
| Provider Name | Alexandra Helene Nicholson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063953248 PECOS PAC ID: 2466811161 Enrollment ID: I20230628003191 |
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