| Ravi K Titha Md Pc | |
|
3150 Clinch St Richlands VA 24641-2172 | |
| (276) 964-6711 | |
| (276) 964-2240 |
| Full Name | Ravi K Titha Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3150 Clinch St, Richlands, Virginia |
| Authorized Official Name and Position | Ravi K Titha (PHYSICIAN) |
| Authorized Official Contact | 2769646711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravi K Titha Md Pc 3150 Clinch St Richlands VA 24641-2172 Ph: (276) 964-6711 | Ravi K Titha Md Pc 3150 Clinch St Richlands VA 24641-2172 Ph: (276) 964-6711 |
| NPI Number | 1588826929 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 10/24/2008 |
| Medicare PECOS PAC ID | 1254409725 |
|---|---|
| Medicare Enrollment ID | O20081010000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588826929 | NPI | - | NPPES |
| 010063671 | Medicaid | VA | |
| 010163800 | Other | VA | FEDERAL BLACK LUNG |
| 164419 | Other | VA | BLUECROSS BLUESHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101235493 (Virginia) | Primary |
| Provider Name | Ravi K Titha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558452482 PECOS PAC ID: 6002899119 Enrollment ID: I20040610000318 |
James H. Mcvey, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 Clinch St, Suite 202, Richlands, VA 24641 Phone: 276-964-6711 Fax: 276-964-2240 | |
Jamal I. Sahyouni, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2951 Front St, Clinch Valley Medical Center, Ste. 1600, Richlands, VA 24641 Phone: 276-596-9510 | |
Washington Square Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 Clinch St, Richlands, VA 24641 Phone: 276-964-6711 Fax: 276-964-2240 | |
Clinch Valley Physicians Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: One Clinic Dr, Claypool Hill, Richlands, VA 24641 Phone: 276-964-6771 Fax: 276-964-1314 | |
Clinch Valley Endocrinology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2951 West Front Street, Suite 2600, Richlands, VA 24641 Phone: 276-596-6711 | |
Washington Square Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 Clinch St, Richlands, VA 24641 Phone: 276-964-6711 Fax: 276-964-2240 |