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NPI Code Detail

MEDICARE: DR. MICHAEL C EDELSTEIN M.D.

MEDICARE: DR. MICHAEL C EDELSTEIN M.D.
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
1207VE0102XReproductive Endocrinology Physician0101042502VA
2207VE0102XReproductive Endocrinology PhysicianMD034456EPA
3207V00000XObstetrics & Gynecology PhysicianMD034456EPA
4207V00000XObstetrics & Gynecology Physician0101042502VA
5174400000XSpecialist0101042502VA

General Provider Information

NPI Number : 1205935202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL C EDELSTEIN M.D.
Provider Business Mailing Address
First Line : 9030 STONY POINT PKWY
Second Line : STE 450
City : RICHMOND
State : VA
Zip : 23235-1941
Country : US
Telephone Number : 804-500-9999
Fax Number : 804-323-9979
Provider Business Practice Location Address
First Line : 9030 STONY POINT PKWY
Second Line : STE 450
City : RICHMOND
State : VA
Zip : 23235-1941
Country : US
Telephone Number : 804-500-9999
Fax Number : 804-323-9979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 03/30/2026

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