Healthcare Provider Details

I. General information

NPI: 1134475999
Provider Name (Legal Business Name): VIRGINIA EMERGENCY PHYSICIANS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 10/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 E PARHAM RD
RICHMOND VA
23294-4301
US

IV. Provider business mailing address

PO BOX 17643
BALTIMORE MD
21297-1643
US

V. Phone/Fax

Practice location:
  • Phone: 804-747-5600
  • Fax:
Mailing address:
  • Phone: 866-916-5259
  • Fax: 231-922-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DERIK K KING
Title or Position: LLP MANAGING PARTNER
Credential: MD
Phone: 866-916-5259