MEDICARE: DR. RICHARD ALAN VIRGIL 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	2084P0800X	Psychiatry Physician	MD11915	DC

General Provider Information

NPI Number	:	1699898528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ALAN VIRGIL M.D.

Provider Business Mailing Address
First Line	:	8904 BURDETTE RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-2112
Country	:	US
Telephone Number	:	301-767-0898
Fax Number	:	301-767-0898

Provider Business Practice Location Address
First Line	:	5415 CONNECTICUT AVE NW
Second Line	:	SUITE T-43
City	:	WASHINGTON
State	:	DC
Zip	:	20015-2765
Country	:	US
Telephone Number	:	202-237-8300
Fax Number	:	301-767-0898

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

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	12/12/2011

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