Healthcare Provider Details

I. General information

NPI: 1679924369
Provider Name (Legal Business Name): BINAYA BASYAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7611 FOREST AVE STE 100
RICHMOND VA
23229-4946
US

IV. Provider business mailing address

7611 FOREST AVE STE 100
RICHMOND VA
23229-4946
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-4827
  • Fax: 804-288-4494
Mailing address:
  • Phone: 804-288-4827
  • Fax: 804-288-4494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number0101284516
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: