Healthcare Provider Details

I. General information

NPI: 1962433532
Provider Name (Legal Business Name): VIRGINIA PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 COX RD SUITE 155
GLEN ALLEN VA
23060-6507
US

IV. Provider business mailing address

4900 COX RD SUITE 155
GLEN ALLEN VA
23060-6507
US

V. Phone/Fax

Practice location:
  • Phone: 804-726-8571
  • Fax:
Mailing address:
  • Phone: 804-726-8571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateVA

VIII. Authorized Official

Name: MICHAEL DELLAMAR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 804-726-8571