MEDICARE: CARDIOLOGY ASSOCIATES OF CENTRAL VIRGINIA, 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	174400000X	Specialist	0101047753	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316046287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOLOGY ASSOCIATES OF CENTRAL VIRGINIA, PC

Provider Business Mailing Address
First Line	:	89 SHERWOOD DR
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1447
Country	:	US
Telephone Number	:	804-526-3010
Fax Number	:	804-526-2293

Provider Business Practice Location Address
First Line	:	89 SHERWOOD DR
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1447
Country	:	US
Telephone Number	:	804-526-3010
Fax Number	:	804-526-2293

Authorized Official
Title or Position	:	MD
Name	:	DR. RAVINDER S KOHLI
Credential	:	MD
Telephone Number	:	804-526-3010

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	05/12/2022

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