Krv Medical Services Llc | |
5700 Fitzhugh Ave Richmond VA 23226-1800 | |
(908) 279-5086 | |
Not Available |
Full Name | Krv Medical Services Llc |
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Speciality | Internal Medicine |
Location | 5700 Fitzhugh Ave, Richmond, Virginia |
Authorized Official Name and Position | Krishna Vanam (PRESIDENT) |
Authorized Official Contact | 9082795086 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Krv Medical Services Llc 12342 Smith Grove Ct Glen Allen VA 23059-7176 Ph: (908) 279-5086 | Krv Medical Services Llc 5700 Fitzhugh Ave Richmond VA 23226-1800 Ph: (908) 279-5086 |
NPI Number | 1538878285 |
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Provider Enumeration Date | 11/22/2022 |
Last Update Date | 11/22/2022 |
Medicare PECOS PAC ID | 5991176539 |
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Medicare Enrollment ID | O20230119000484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538878285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Krishna G Vanam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841636305 PECOS PAC ID: 4789993296 Enrollment ID: I20210810002708 |
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