MEDICARE: DR. PATRICIA K BUCHANAN 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	2085R0202X	Diagnostic Radiology Physician	0101043673	VA

General Provider Information

NPI Number	:	1710977152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA K BUCHANAN M.D.

Provider Business Mailing Address
First Line	:	2602 BUFORD RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-3422
Country	:	US
Telephone Number	:	804-272-8806
Fax Number	:	804-272-2909

Provider Business Practice Location Address
First Line	:	2602 BUFORD RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-3422
Country	:	US
Telephone Number	:	804-272-8806
Fax Number	:	804-272-2909

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	01/28/2022

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