| Kishor S Dabhi Md Pc | |
|
3628 Boulevard Colonial Heights VA 23834-1342 | |
| (804) 526-5850 | |
| (804) 520-7312 |
| Full Name | Kishor S Dabhi Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3628 Boulevard, Colonial Heights, Virginia |
| Authorized Official Name and Position | Kishor S Dabhi (OWNER) |
| Authorized Official Contact | 8045265850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishor S Dabhi Md Pc 3628 Boulevard Colonial Heights VA 23834-1342 Ph: (804) 526-5850 | Kishor S Dabhi Md Pc 3628 Boulevard Colonial Heights VA 23834-1342 Ph: (804) 526-5850 |
| NPI Number | 1831269703 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 03/25/2008 |
| Medicare PECOS PAC ID | 8921071432 |
|---|---|
| Medicare Enrollment ID | O20040813000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831269703 | NPI | - | NPPES |
| 5860857 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101057702 (Virginia) | Primary |
| Provider Name | Kishor S Dabhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285749051 PECOS PAC ID: 8527031038 Enrollment ID: I20100921000943 |
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