MEDICARE: DESIREE INMAN DO

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	207Q00000X	Family Medicine Physician	0102207081	VA

General Provider Information

NPI Number	:	1518520618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIREE INMAN DO

Provider Business Mailing Address
First Line	:	1097 N FRANKLIN ST
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-1421
Country	:	US
Telephone Number	:	540-251-1394
Fax Number	:	540-227-6047

Provider Business Practice Location Address
First Line	:	1097 N FRANKLIN ST
Second Line	:
City	:	CHRISTIANSBURG
State	:	VA
Zip	:	24073-1421
Country	:	US
Telephone Number	:	540-251-1394
Fax Number	:	540-227-6047

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

Provider Enumeration Date	:	04/15/2019
Last Update Date	:	06/02/2026

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