Healthcare Provider Details

I. General information

NPI: 1669466405
Provider Name (Legal Business Name): BIRGIT ARB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 09/30/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LEE HWY N
PULASKI VA
24301-2326
US

IV. Provider business mailing address

2400 LEE HWY N
PULASKI VA
24301-2326
US

V. Phone/Fax

Practice location:
  • Phone: 540-440-4561
  • Fax: 540-440-4703
Mailing address:
  • Phone: 540-440-4561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number9400863
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number0101277
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number010127739
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: