Healthcare Provider Details

I. General information

NPI: 1962365023
Provider Name (Legal Business Name): INFUSION THERAPY OF VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 WILKES RIDGE DR STE 100
RICHMOND VA
23233-7963
US

IV. Provider business mailing address

PO BOX 6021
RICHMOND VA
23222-0021
US

V. Phone/Fax

Practice location:
  • Phone: 508-944-3424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TAYLAN BOZKURT
Title or Position: MEMBER
Credential:
Phone: 508-944-3424