| Hospitalist Medicine Physicians Of Virginia - Richmond, Llc | |
|
5801 Bremo Rd Richmond VA 23226-1907 | |
| (804) 285-2011 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Virginia - Richmond, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5801 Bremo Rd, Richmond, Virginia |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Virginia - Richmond, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of Virginia - Richmond, Llc 5801 Bremo Rd Richmond VA 23226-1907 Ph: (804) 285-2011 |
| NPI Number | 1699311324 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 2860829207 |
|---|---|
| Medicare Enrollment ID | O20200225002340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699311324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Haya W Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093770224 PECOS PAC ID: 1951205079 Enrollment ID: I20031120000949 |
| Provider Name | Vikas Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871521070 PECOS PAC ID: 7113823642 Enrollment ID: I20031208000411 |
| Provider Name | Calina B Zerate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730170416 PECOS PAC ID: 7012909559 Enrollment ID: I20040402000317 |
| Provider Name | Hyunsun D Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952312258 PECOS PAC ID: 6901885615 Enrollment ID: I20040716000200 |
| Provider Name | Adam K Gelrud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982676276 PECOS PAC ID: 0840270435 Enrollment ID: I20040723000444 |
| Provider Name | Joseph L Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070515 PECOS PAC ID: 2163492547 Enrollment ID: I20040731000276 |
| Provider Name | Nsekenene Kolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685301 PECOS PAC ID: 0941277263 Enrollment ID: I20040915000436 |
| Provider Name | Salman F Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528046026 PECOS PAC ID: 2769420801 Enrollment ID: I20050420000310 |
| Provider Name | Nzinga Z Teule Hekima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851399901 PECOS PAC ID: 4587608013 Enrollment ID: I20050615001013 |
| Provider Name | Hasan M Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225068968 PECOS PAC ID: 4284686510 Enrollment ID: I20050808001246 |
| Provider Name | Noemi Romano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508874173 PECOS PAC ID: 3173515335 Enrollment ID: I20050915001152 |
| Provider Name | Sridhar Madhunapantula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003821844 PECOS PAC ID: 3577597582 Enrollment ID: I20050920000536 |
| Provider Name | Hammad Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427044205 PECOS PAC ID: 5496774820 Enrollment ID: I20051115000879 |
| Provider Name | William P Ciesla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265526578 PECOS PAC ID: 3476572439 Enrollment ID: I20051118000283 |
| Provider Name | Richard E Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079086 PECOS PAC ID: 6800816166 Enrollment ID: I20051201000111 |
| Provider Name | Sami Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416929 PECOS PAC ID: 2567485352 Enrollment ID: I20060106000683 |
| Provider Name | Thomas Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088364 PECOS PAC ID: 5193739621 Enrollment ID: I20060203000228 |
| Provider Name | Kareem B Yostos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568475077 PECOS PAC ID: 4284631383 Enrollment ID: I20061102000562 |
| Provider Name | Michael E Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639186992 PECOS PAC ID: 5991702094 Enrollment ID: I20061102000579 |
| Provider Name | Imran Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689889511 PECOS PAC ID: 1355434911 Enrollment ID: I20070912000677 |
| Provider Name | Maria Doubrovskaia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760601306 PECOS PAC ID: 9830285592 Enrollment ID: I20071011000412 |
| Provider Name | Faizur Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992724520 PECOS PAC ID: 6204850977 Enrollment ID: I20071012000418 |
| Provider Name | Sheron T Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245422351 PECOS PAC ID: 0345323283 Enrollment ID: I20080214000576 |
| Provider Name | Razaak A Eniola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518902014 PECOS PAC ID: 0749298628 Enrollment ID: I20080617000042 |
| Provider Name | Atoosa D Purveyor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407012859 PECOS PAC ID: 1355409640 Enrollment ID: I20081014000721 |
| Provider Name | Kyong Un Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023225059 PECOS PAC ID: 6002975224 Enrollment ID: I20081103000592 |
| Provider Name | Cassandra A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518113091 PECOS PAC ID: 9638238652 Enrollment ID: I20081106000011 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20090312000505 |
| Provider Name | Ann Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275750804 PECOS PAC ID: 8325144363 Enrollment ID: I20090615000369 |
| Provider Name | Mocho Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932340932 PECOS PAC ID: 1658422522 Enrollment ID: I20090706000653 |
| Provider Name | Kyaw T Zaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467655076 PECOS PAC ID: 0345389680 Enrollment ID: I20091130000530 |
| Provider Name | Carlos J Mencias Vera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215110283 PECOS PAC ID: 4688716657 Enrollment ID: I20100128000939 |
| Provider Name | Iryna Aberkorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780846071 PECOS PAC ID: 7810011426 Enrollment ID: I20100903000469 |
| Provider Name | Kari Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003965021 PECOS PAC ID: 4587637632 Enrollment ID: I20101014000746 |
| Provider Name | Diego F Martinez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063483188 PECOS PAC ID: 4183726854 Enrollment ID: I20101102001018 |
| Provider Name | Mark N Dumas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548245855 PECOS PAC ID: 9739260779 Enrollment ID: I20110211000725 |
| Provider Name | Parishram B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992940977 PECOS PAC ID: 6002093671 Enrollment ID: I20110608000000 |
| Provider Name | Mahmud Uzzaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726014 PECOS PAC ID: 3476722737 Enrollment ID: I20110803000553 |
| Provider Name | Punit Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073761565 PECOS PAC ID: 8426228966 Enrollment ID: I20110819000217 |
| Provider Name | Mushtaq Anis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417112855 PECOS PAC ID: 3971773029 Enrollment ID: I20110826000470 |
| Provider Name | Vidya Nagamangala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720241128 PECOS PAC ID: 7719157577 Enrollment ID: I20110902000568 |
| Provider Name | Srivani Angadala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952559460 PECOS PAC ID: 9436321130 Enrollment ID: I20110930000076 |
| Provider Name | Gabriella T Joffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992999874 PECOS PAC ID: 8820168917 Enrollment ID: I20111027000796 |
| Provider Name | Patricia L Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578668398 PECOS PAC ID: 9739134966 Enrollment ID: I20120206000029 |
| Provider Name | Yi Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720201577 PECOS PAC ID: 0042318388 Enrollment ID: I20120508000236 |
| Provider Name | Jon-erik Houser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659513075 PECOS PAC ID: 0042467334 Enrollment ID: I20120821000687 |
| Provider Name | Chanda Yaqub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740596469 PECOS PAC ID: 3577759208 Enrollment ID: I20130409000300 |
| Provider Name | Guneet Sarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144534546 PECOS PAC ID: 0244474401 Enrollment ID: I20130910000698 |
| Provider Name | Vidya Raghavan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1194955286 PECOS PAC ID: 0547404675 Enrollment ID: I20130911000599 |
| Provider Name | Saeed M Jadali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245526847 PECOS PAC ID: 2466683487 Enrollment ID: I20140314001401 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20140410000021 |
| Provider Name | Anthony Oduje Isedeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445539 PECOS PAC ID: 2567688922 Enrollment ID: I20140722000768 |
| Provider Name | Nir Horev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366860967 PECOS PAC ID: 0345469458 Enrollment ID: I20140922001393 |
| Provider Name | Yohannes Tilahun Mengistu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912292525 PECOS PAC ID: 0941522718 Enrollment ID: I20141205000341 |
| Provider Name | Nelson Enor Airewele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
| Provider Name | Vijai Bhola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073742409 PECOS PAC ID: 4789908526 Enrollment ID: I20150127000029 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20150127000306 |
| Provider Name | Dharmesh Ravjibhai Sanghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780977728 PECOS PAC ID: 0345565628 Enrollment ID: I20150207000457 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20150630001258 |
| Provider Name | Amika Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336406644 PECOS PAC ID: 0042523532 Enrollment ID: I20150713001465 |
| Provider Name | Ali Al-saadoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316209067 PECOS PAC ID: 3678714946 Enrollment ID: I20150813012282 |
| Provider Name | Zeleke Kassahun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477536811 PECOS PAC ID: 9830189935 Enrollment ID: I20151119001270 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20160516001507 |
| Provider Name | Christopher Oti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066535 PECOS PAC ID: 4082679915 Enrollment ID: I20160927003017 |
| Provider Name | Uyen V Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124360995 PECOS PAC ID: 4789972530 Enrollment ID: I20161011000188 |
| Provider Name | Esteban Antonio Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352819 PECOS PAC ID: 7315943131 Enrollment ID: I20161026000690 |
| Provider Name | Kerry C Lanigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801186481 PECOS PAC ID: 7416279963 Enrollment ID: I20161102001868 |
| Provider Name | Theodros H Gebremeskel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215367008 PECOS PAC ID: 6305127440 Enrollment ID: I20170103000763 |
| Provider Name | Gonzalo Luizaga Coca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831331032 PECOS PAC ID: 7911163027 Enrollment ID: I20170207002070 |
| Provider Name | Darlene Frances Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659506954 PECOS PAC ID: 1254616147 Enrollment ID: I20170327001916 |
| Provider Name | Heather A Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194262923 PECOS PAC ID: 6002192739 Enrollment ID: I20170413000318 |
| Provider Name | Keisha Q James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660655 PECOS PAC ID: 8123395282 Enrollment ID: I20170522002081 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20170621001990 |
| Provider Name | Varun K Golla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578856910 PECOS PAC ID: 9032331186 Enrollment ID: I20170821000982 |
| Provider Name | Mohamed Tourky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497916670 PECOS PAC ID: 0143382697 Enrollment ID: I20170915003219 |
| Provider Name | Samuel Kebede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790177129 PECOS PAC ID: 6204100977 Enrollment ID: I20170919001528 |
| Provider Name | Habtamu D Giduma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316235906 PECOS PAC ID: 8123240058 Enrollment ID: I20170922001455 |
| Provider Name | Bertha Sanchez Valdivieso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356571236 PECOS PAC ID: 0042462947 Enrollment ID: I20171024003696 |
| Provider Name | Samip Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194132126 PECOS PAC ID: 1355608662 Enrollment ID: I20171121002766 |
| Provider Name | Monika Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114368974 PECOS PAC ID: 6507153541 Enrollment ID: I20171205001440 |
| Provider Name | Upendra Maddineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437393493 PECOS PAC ID: 9931467099 Enrollment ID: I20171218003424 |
| Provider Name | Nidal N Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20171228002724 |
| Provider Name | Christopher Mcrae Broaddus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457753758 PECOS PAC ID: 5890091490 Enrollment ID: I20180219000150 |
| Provider Name | Ahmed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639560162 PECOS PAC ID: 1456667088 Enrollment ID: I20180410000841 |
| Provider Name | David Moh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295026607 PECOS PAC ID: 8224275979 Enrollment ID: I20180702002694 |
| Provider Name | Oumoul Khairi Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619358942 PECOS PAC ID: 2466744180 Enrollment ID: I20180730002312 |
| Provider Name | Phillip D Klahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821066432 PECOS PAC ID: 4284691049 Enrollment ID: I20180810000661 |
| Provider Name | Jessica Irit Mirakov Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255750600 PECOS PAC ID: 7315160819 Enrollment ID: I20180813000054 |
| Provider Name | Glenn L Goodhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568481356 PECOS PAC ID: 5496917304 Enrollment ID: I20180904002094 |
| Provider Name | Seme Tabassum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942686282 PECOS PAC ID: 4486905478 Enrollment ID: I20181002001435 |
| Provider Name | Zeeshan Khakwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417207812 PECOS PAC ID: 8123241544 Enrollment ID: I20181002003897 |
| Provider Name | Ali Entezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770847527 PECOS PAC ID: 3678886132 Enrollment ID: I20181112001015 |
| Provider Name | Abigail Amuquandoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669951869 PECOS PAC ID: 6800140153 Enrollment ID: I20181126003273 |
| Provider Name | Atousa Mamhmoudzadeh Tabrizian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221449 PECOS PAC ID: 2860689197 Enrollment ID: I20190213002437 |
| Provider Name | Umar Mohammed Hardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972680239 PECOS PAC ID: 7810947892 Enrollment ID: I20190313002455 |
| Provider Name | Sushma Madala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437530003 PECOS PAC ID: 7315240199 Enrollment ID: I20190319002964 |
| Provider Name | Jaimin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261932 PECOS PAC ID: 5193027712 Enrollment ID: I20190328000020 |
| Provider Name | Lindsay Edwards Muncy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013322734 PECOS PAC ID: 4183942469 Enrollment ID: I20190507003067 |
| Provider Name | Amer Aldamouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083060404 PECOS PAC ID: 9739415076 Enrollment ID: I20190726001978 |
| Provider Name | James Patrick Gundersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972683274 PECOS PAC ID: 9638166689 Enrollment ID: I20190813003711 |
| Provider Name | Nicole F Brassington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861877862 PECOS PAC ID: 5395055040 Enrollment ID: I20191016001789 |
| Provider Name | Nitisha Md Kamath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144676032 PECOS PAC ID: 7618262577 Enrollment ID: I20191021002643 |
| Provider Name | Tejas Raiyani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932336922 PECOS PAC ID: 7517113376 Enrollment ID: I20191022001775 |
| Provider Name | Munir Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033548839 PECOS PAC ID: 9830487370 Enrollment ID: I20191106003523 |
| Provider Name | Nizam Din |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861659625 PECOS PAC ID: 4587721352 Enrollment ID: I20200221002212 |
| Provider Name | Jason Mclavy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639245459 PECOS PAC ID: 7214993948 Enrollment ID: I20200303001627 |
| Provider Name | Nawaraj Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851828875 PECOS PAC ID: 4688911647 Enrollment ID: I20200827000902 |
| Provider Name | Jamie Lynn Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174159644 PECOS PAC ID: 3274950704 Enrollment ID: I20200831000084 |
| Provider Name | Cara Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841619723 PECOS PAC ID: 2466753116 Enrollment ID: I20200914001722 |
| Provider Name | Betelhem Gebremichel Woldemariam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801322813 PECOS PAC ID: 9133547318 Enrollment ID: I20200921001611 |
| Provider Name | Tarun K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205363769 PECOS PAC ID: 0648690644 Enrollment ID: I20201013001543 |
| Provider Name | Arlyn Pericano Salabao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013493766 PECOS PAC ID: 7315352184 Enrollment ID: I20210209002392 |
| Provider Name | Haydar Al Dabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720471824 PECOS PAC ID: 4183907553 Enrollment ID: I20210330001924 |
| Provider Name | Yousef Almuzaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376030254 PECOS PAC ID: 5991036444 Enrollment ID: I20210504001995 |
| Provider Name | Bradley Foster Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013356237 PECOS PAC ID: 0446540561 Enrollment ID: I20211021002432 |
| Provider Name | Bruno Elias Massare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346747987 PECOS PAC ID: 7517222938 Enrollment ID: I20211108000746 |
| Provider Name | Jennifer Diane Karabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518097 PECOS PAC ID: 0244625762 Enrollment ID: I20220321001057 |
Laburnum Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4620 S Laburnum Ave, Richmond, VA 23231 Phone: 804-226-2444 Fax: 804-222-0458 | |
Dr Rozana Itskovich Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7660 E Parham Road, Suite 204, Richmond, VA 23294 Phone: 804-364-8802 Fax: 804-364-1288 | |
John E Gehman Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7323 Boulder View Ln, Richmond, VA 23225 Phone: 804-744-5050 Fax: 804-744-8811 | |
Bon Secours Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Bremo Rd, Suite 102, Richmond, VA 23226 Phone: 804-673-2814 Fax: 804-673-2873 | |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |
Altria Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6601 W Broad St, Richmond, VA 23230 Phone: 804-484-8891 |