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NPI Code Detail

MEDICARE: DAVID JINICH MD

MEDICARE: DAVID JINICH 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
1207RC0000XCardiovascular Disease Physician12328MT
2207RC0000XCardiovascular Disease Physician0101262078VA

Other Identifiers

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

General Provider Information

NPI Number : 1861447500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JINICH MD
Provider Business Mailing Address
First Line : 2900 LAMB CIR
Second Line : SUITE 301
City : CHRISTIANSBURG
State : VA
Zip : 24073-6345
Country : US
Telephone Number : 540-731-2328
Fax Number : 540-639-3950
Provider Business Practice Location Address
First Line : 2900 LAMB CIR STE 301
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-6345
Country : US
Telephone Number : 540-731-2328
Fax Number : 540-639-3950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 12/11/2020

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