MEDICARE: YVONNE KNIGHT MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	010132257	VA

General Provider Information

NPI Number	:	1194846386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YVONNE KNIGHT MD PC

Provider Business Mailing Address
First Line	:	3811 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1436
Country	:	US
Telephone Number	:	804-270-6100
Fax Number	:	804-270-4746

Provider Business Practice Location Address
First Line	:	3811 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23233-1436
Country	:	US
Telephone Number	:	804-270-6100
Fax Number	:	804-270-4746

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. FALGUN P PATEL
Credential	:
Telephone Number	:	804-270-6100

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	01/20/2011

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