| Vitae Health Medical Virginia Llc | |
|
355 William Mills Dr Stanardsville VA 22973-3055 | |
| (224) 777-8034 | |
| (224) 236-4900 |
| Full Name | Vitae Health Medical Virginia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 355 William Mills Dr, Stanardsville, Virginia |
| Authorized Official Name and Position | Amish Manu Patel (PRESIDENT) |
| Authorized Official Contact | 2247778034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Medical Virginia Llc 3450 Oakton St Ste 300 Skokie IL 60076-2951 Ph: (224) 777-8034 | Vitae Health Medical Virginia Llc 355 William Mills Dr Stanardsville VA 22973-3055 Ph: (224) 777-8034 |
| NPI Number | 1497372056 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 09/30/2021 |
| Medicare PECOS PAC ID | 6901215797 |
|---|---|
| Medicare Enrollment ID | O20210507000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497372056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20110504000516 |
| Provider Name | Jeffrey Patrick Gasparini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083369227 PECOS PAC ID: 5092101709 Enrollment ID: I20220406000778 |
Greene Care Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Stanard St, Stanardsville, VA 22973 Phone: 434-985-7000 Fax: 434-985-4993 |