Healthcare Provider Details
I. General information
NPI: 1356151401
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATOLOGY SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
767 PINEY FOREST RD
DANVILLE VA
24540-2860
US
IV. Provider business mailing address
PO BOX 8310
ROANOKE VA
24014-0310
US
V. Phone/Fax
- Phone: 540-345-3556
- Fax:
- Phone: 540-345-3556
- Fax: 540-566-3889
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHARUKH
D
SHROFF
Title or Position: PRESIDENT
Credential: MD
Phone: 540-345-3556