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NPI Code Detail

MEDICARE: BRENDON SEID-PHAN

MEDICARE: BRENDON SEID-PHAN
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1811848534
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDON SEID-PHAN
Provider Business Mailing Address
First Line : 7101 JAHNKE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4017
Country : US
Telephone Number : 804-483-0000
Fax Number :
Provider Business Practice Location Address
First Line : 7101 JAHNKE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4017
Country : US
Telephone Number : 804-483-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 04/15/2026

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Directions to “ BRENDON SEID-PHAN ” Practice Location

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