MEDICARE: DIMMOCK MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1225769300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIMMOCK MEDICAL GROUP

Provider Business Mailing Address
First Line	:	PO BOX 11768
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-0168
Country	:	US
Telephone Number	:	804-524-0060
Fax Number	:	804-524-0064

Provider Business Practice Location Address
First Line	:	325 CHARLES H DIMMOCK PKWY STE 500
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-2988
Country	:	US
Telephone Number	:	804-524-0060
Fax Number	:	804-524-0064

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AKSHAY S DAVE
Credential	:	MD
Telephone Number	:	804-524-0060

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	06/21/2022

Similar Medicare Providers

1154389435 — LANPING YU MD
Practice Location Address:

325 CHARLES H DIMMOCK PKWY STE 600
COLONIAL HEIGHTS, VA
23834-2988

Practice Phone: 804-518-3288
Practice Fax:

1609224559 — SKYE LU DO
Practice Location Address:

325 CHARLES H DIMMOCK PKWY STE 600
COLONIAL HEIGHTS, VA
23834-2988

Practice Phone: 804-518-3288
Practice Fax: 888-990-1241

1871619072 — KELLY GRANT PT, ATC
Practice Location Address:

2988 EATON RD
SHAKER HEIGHTS, OH
44122-2516

Practice Phone: 216-991-1050
Practice Fax:

1467881706 — CENTERSOURCE CORPORATION
Practice Location Address:

2988 NW FAIRWAY HEIGHTS DR
BEND, OR
97703-8334

Practice Phone: 877-293-1472
Practice Fax: 877-293-1475

1770908618 — JAE NAM KIM
Practice Location Address:

1661 NOGALES ST , SUITE D
ROWLAND HEIGHTS, CA
91748-2988

Practice Phone: 626-964-1508
Practice Fax: 626-964-5908

1316870108 — ANGELA M WHITE
Practice Location Address:

PO BOX 461
COLONIAL HEIGHTS, VA
23834-0461

Practice Phone: 804-681-0641
Practice Fax:

Directions to “DIMMOCK MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.