| Virginia Health & Wellness Pc | |
|
2621 Grove Ave Richmond VA 23220-4308 | |
| (804) 269-1553 | |
| Not Available |
| Full Name | Virginia Health & Wellness Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2621 Grove Ave, Richmond, Virginia |
| Authorized Official Name and Position | Muhammad Ilyas Vohra (PRESIDENT) |
| Authorized Official Contact | 8042691553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Health & Wellness Pc 13456 Welby Mews Midlothian VA 23113-3664 Ph: (804) 269-1553 | Virginia Health & Wellness Pc 2621 Grove Ave Richmond VA 23220-4308 Ph: (804) 269-1553 |
| NPI Number | 1144473836 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Medicare PECOS PAC ID | 5294897609 |
|---|---|
| Medicare Enrollment ID | O20081218000609 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144473836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101224513 (Virginia) | Primary |
| Provider Name | Muhammad I Vohra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720296155 PECOS PAC ID: 6507891298 Enrollment ID: I20050930000677 |
| Provider Name | Jemina M Liverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073889697 PECOS PAC ID: 8921360207 Enrollment ID: I20180326002685 |
| Provider Name | Shehnaz B Sakthi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609360528 PECOS PAC ID: 7719231729 Enrollment ID: I20181109002184 |
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