Healthcare Provider Details

I. General information

NPI: 1326012014
Provider Name (Legal Business Name): DANIEL PERRI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 FITZHUGH AVE
RICHMOND VA
23226-1800
US

IV. Provider business mailing address

5700 FITZHUGH AVE
RICHMOND VA
23226-1800
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-5700
  • Fax: 804-288-6713
Mailing address:
  • Phone: 804-288-5700
  • Fax: 804-288-6713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number200502
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: