MEDICARE: MILAD N GERGES

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0202221248	VA

General Provider Information

NPI Number	:	1275226086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILAD N GERGES

Provider Business Mailing Address
First Line	:	4204 RIVERDALE AVE
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-3385
Country	:	US
Telephone Number	:	804-585-8277
Fax Number	:

Provider Business Practice Location Address
First Line	:	1356 GASKINS RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-4919
Country	:	US
Telephone Number	:	804-740-0011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	06/06/2026

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Directions to “ MILAD N GERGES ” Practice Location

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