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NPI Code Detail

MEDICARE: DR. DESIDERIO J RIMON MD

MEDICARE: DR. DESIDERIO J RIMON MD
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
1208600000XSurgery Physician0101-235416VA

Other Identifiers

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

General Provider Information

NPI Number : 1427033893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DESIDERIO J RIMON MD
Provider Business Mailing Address
First Line : 140 E FERRELL ST
Second Line : PO BOX 623
City : SOUTH HILL
State : VA
Zip : 23970-2102
Country : US
Telephone Number : 434-774-2581
Fax Number : 434-447-4075
Provider Business Practice Location Address
First Line : 1755 N MECKLENBURG AVE
Second Line :
City : SOUTH HILL
State : VA
Zip : 23970-4080
Country : US
Telephone Number : 434-584-5436
Fax Number : 434-584-5495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 10/11/2019

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