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NPI Code Detail

MEDICARE: VIRTUMED LLC

MEDICARE: VIRTUMED LLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1235821943
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRTUMED LLC
Provider Business Mailing Address
First Line : 455 N CITYFRONT PLAZA DR STE 2515
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5323
Country : US
Telephone Number : 408-518-2712
Fax Number : 630-566-8294
Provider Business Practice Location Address
First Line : 4001 W 15TH ST STE 435
Second Line :
City : PLANO
State : TX
Zip : 75093-5845
Country : US
Telephone Number : 408-518-2712
Fax Number : 630-566-8294
Authorized Official
Title or Position : OWNER
Name : RIZWAN KHAN
Credential :
Telephone Number : 408-518-2712
Provider Enumeration Date : 05/22/2023
Last Update Date : 12/16/2025

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Directions to “VIRTUMED LLC ” Practice Location

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