| Healthline Family Practice Pc | |
|
13121 Rivers Bend Blvd Chester VA 23836-8624 | |
| (804) 530-0707 | |
| (804) 530-0074 |
| Full Name | Healthline Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13121 Rivers Bend Blvd, Chester, Virginia |
| Authorized Official Name and Position | Tushar Shah (PRESIDENT) |
| Authorized Official Contact | 8045300707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthline Family Practice Pc 13121 Rivers Bend Blvd Chester VA 23836-8624 Ph: (804) 530-0707 | Healthline Family Practice Pc 13121 Rivers Bend Blvd Chester VA 23836-8624 Ph: (804) 530-0707 |
| NPI Number | 1588782569 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588782569 | NPI | - | NPPES |
| 005640563 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
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