| Virginia Gastroenterology & Hepatology, Inc. | |
|
9257 Old Keene Mill Rd Burke VA 22015-4202 | |
| (703) 455-5556 | |
| Not Available |
| Full Name | Virginia Gastroenterology & Hepatology, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9257 Old Keene Mill Rd, Burke, Virginia |
| Authorized Official Name and Position | Charles Mcbride (PRESIDENT) |
| Authorized Official Contact | 7034555556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Gastroenterology & Hepatology, Inc. 9257 Old Keene Mill Rd Burke VA 22015-4202 Ph: () - | Virginia Gastroenterology & Hepatology, Inc. 9257 Old Keene Mill Rd Burke VA 22015-4202 Ph: (703) 455-5556 |
| NPI Number | 1639355985 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 02/13/2008 |
| Medicare PECOS PAC ID | 5597725937 |
|---|---|
| Medicare Enrollment ID | O20041012000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639355985 | NPI | - | NPPES |
| 5851165 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101047013 (Virginia) | Primary |
| Provider Name | Charles E Mcbride |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831124197 PECOS PAC ID: 5395735617 Enrollment ID: I20040517001341 |
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