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NPI Code Detail

MEDICARE: DR. ANIT KAUSHIK MANKAD MD

MEDICARE: DR. ANIT KAUSHIK MANKAD 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
1207RA0001XAdvanced Heart Failure and Transplant Cardiology Physician0101244247VA

General Provider Information

NPI Number : 1730397472
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANIT KAUSHIK MANKAD MD
Provider Business Mailing Address
First Line : PO BOX 91734
Second Line :
City : RICHMOND
State : VA
Zip : 23291-1734
Country : US
Telephone Number : 804-358-6100
Fax Number : 804-342-7619
Provider Business Practice Location Address
First Line : 1201 BROAD ROCK BLVD # 111-J
Second Line :
City : RICHMOND
State : VA
Zip : 23249-5051
Country : US
Telephone Number : 804-675-5419
Fax Number : 804-675-5420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 10/23/2024

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