MEDICARE: DR. PIERRE KAMGUIA 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
1	207W00000X	Ophthalmology Physician	0101543591	VA

General Provider Information

NPI Number	:	1447234844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIERRE KAMGUIA M.D.

Provider Business Mailing Address
First Line	:	5814 OAK KNOLL RD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-2402
Country	:	US
Telephone Number	:	276-226-1017
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 SHEILA LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-2039
Country	:	US
Telephone Number	:	804-245-3679
Fax Number	:

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	11/16/2016

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