MEDICARE: MR. VIPOOL KIRIT GORADIA 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
1	207X00000X	Orthopaedic Surgery Physician	010105923	VA
2	174400000X	Specialist

General Provider Information

NPI Number	:	1740274836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VIPOOL KIRIT GORADIA MD

Provider Business Mailing Address
First Line	:	14241 MIDLOTHIAN TPKE # 211
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-6500
Country	:	US
Telephone Number	:	804-419-4119
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 KILLARNEY DR STE 200
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-4167
Country	:	US
Telephone Number	:	443-258-1280
Fax Number	:

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	01/26/2026

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