Shenandoah Valley Gastroenterology Center, Pllc | |
1305 13th St Suite A-2 Waynesboro VA 22980-3631 | |
(540) 246-5515 | |
Not Available |
Full Name | Shenandoah Valley Gastroenterology Center, Pllc |
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Speciality | Internal Medicine |
Location | 1305 13th St, Waynesboro, Virginia |
Authorized Official Name and Position | Javier Antonio Pou (PHYSICIAN/OWNER) |
Authorized Official Contact | 5402465515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shenandoah Valley Gastroenterology Center, Pllc Po Box 85 Penn Laird VA 22846-0085 Ph: (540) 246-5515 | Shenandoah Valley Gastroenterology Center, Pllc 1305 13th St Suite A-2 Waynesboro VA 22980-3631 Ph: (540) 246-5515 |
NPI Number | 1154618312 |
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Provider Enumeration Date | 07/07/2011 |
Last Update Date | 05/12/2021 |
Medicare PECOS PAC ID | 2062681109 |
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Medicare Enrollment ID | O20110808000239 |
Identifier | Type | State | Issuer |
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1154618312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | 0101234913 (Virginia) | Primary |
Provider Name | Javier Antonio Pou |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639181704 PECOS PAC ID: 5698767143 Enrollment ID: I20040402000424 |
Provider Name | Hina Qureshi |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1568488286 PECOS PAC ID: 7517150071 Enrollment ID: I20101018000441 |
Bream Family Dental Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 13th St, Suite D-1, Waynesboro, VA 22980 Phone: 540-949-7246 Fax: 540-946-4912 | |
Emergicare Of Waynesboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2611 W Main St, Suite 1, Waynesboro, VA 22980 Phone: 540-932-7120 Fax: 540-932-8500 |