MEDICARE: DR. IKSHVANKU A. BAROT M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	0101238836	VA
2	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	0101238836	VA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00364403	OTHER	VA	MEDICARE RR

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1609806058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IKSHVANKU A. BAROT M.D.

Provider Business Mailing Address
First Line	:	5000 MONUMENT AVE FL 2
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-3627
Country	:	US
Telephone Number	:	804-269-8291
Fax Number	:	804-269-8293

Provider Business Practice Location Address
First Line	:	5000 MONUMENT AVE FL 2
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-3627
Country	:	US
Telephone Number	:	804-269-8291
Fax Number	:	804-269-8293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	08/01/2024

5000 MONUMENT AVE STE 103
RICHMOND, VA
23230-3627

Practice Phone: 804-649-1277
Practice Fax: 804-649-1026

5000 MONUMENT AVE FL 2
RICHMOND, VA
23230-3627