| Geriatric Associates Of Richmond Inc | |
|
5310 Twin Hickory Rd Glen Allen VA 23059-5783 | |
| (804) 441-9000 | |
| (804) 441-9001 |
| Full Name | Geriatric Associates Of Richmond Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5310 Twin Hickory Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Tahir Khan (DIRECTOR) |
| Authorized Official Contact | 8044419000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Associates Of Richmond Inc 12305 Willscott Pl Glen Allen VA 23059-7621 Ph: () - | Geriatric Associates Of Richmond Inc 5310 Twin Hickory Rd Glen Allen VA 23059-5783 Ph: (804) 441-9000 |
| NPI Number | 1891559597 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 4789026071 |
|---|---|
| Medicare Enrollment ID | O20240531003398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891559597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Muhammad Ishtiaq Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932190451 PECOS PAC ID: 6608899323 Enrollment ID: I20060109000950 |
| Provider Name | Khalid Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346258464 PECOS PAC ID: 6002911773 Enrollment ID: I20070425000378 |
| Provider Name | Valerie Jaskowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588853824 PECOS PAC ID: 4880774611 Enrollment ID: I20080107000593 |
| Provider Name | Tahir H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942250378 PECOS PAC ID: 7517980345 Enrollment ID: I20080911000335 |
| Provider Name | Mohammad S Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982743993 PECOS PAC ID: 6406942523 Enrollment ID: I20150329000001 |
| Provider Name | Jaimie S Tahir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528420544 PECOS PAC ID: 7719270503 Enrollment ID: I20160802000549 |
| Provider Name | Keisha Q James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660655 PECOS PAC ID: 8123395282 Enrollment ID: I20170522002081 |
| Provider Name | Kelly Seltzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483512 PECOS PAC ID: 6002168895 Enrollment ID: I20201013001208 |
| Provider Name | Kenjilyn Uchida Ares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932708971 PECOS PAC ID: 8820403025 Enrollment ID: I20210222001547 |
| Provider Name | Rachel J Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851968523 PECOS PAC ID: 4385011154 Enrollment ID: I20221108000776 |
| Provider Name | Shaellyn K Zeviar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124805700 PECOS PAC ID: 2466809629 Enrollment ID: I20231109000297 |
| Provider Name | Wander Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659060382 PECOS PAC ID: 0345784062 Enrollment ID: I20240704000119 |
| Provider Name | Eunice Wiafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437995826 PECOS PAC ID: 6103358452 Enrollment ID: I20241011002422 |
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