Healthcare Provider Details

I. General information

NPI: 1083296925
Provider Name (Legal Business Name): PIU DEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3263 PROFFIT RD STE 101
CHARLOTTESVILLE VA
22911-5639
US

IV. Provider business mailing address

3263 PROFFIT RD STE 101
CHARLOTTESVILLE VA
22911-5639
US

V. Phone/Fax

Practice location:
  • Phone: 434-654-4600
  • Fax: 434-975-1384
Mailing address:
  • Phone: 434-654-4600
  • Fax: 434-975-1384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101282916
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: