MEDICARE: ANNA VEDINA 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	207R00000X	Internal Medicine Physician	0101247135	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801093281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA VEDINA MD

Provider Business Mailing Address
First Line	:	9460 AMBERDALE DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1259
Country	:	US
Telephone Number	:	804-818-7041
Fax Number	:

Provider Business Practice Location Address
First Line	:	9460 AMBERDALE DR
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-1259
Country	:	US
Telephone Number	:	804-818-7041
Fax Number	:

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

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	01/27/2022

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Directions to “ ANNA VEDINA MD” Practice Location

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