MEDICARE: AJAY VIRMANI 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	207RC0000X	Cardiovascular Disease Physician	0101048879	VA
2	207RH0005X	Hypertension Specialist Physician	0101048879	VA
3	207RI0011X	Interventional Cardiology Physician	0101048879	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11119653	OTHER	MAMSI PROFESSIONAL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871559773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AJAY VIRMANI MD

Provider Business Mailing Address
First Line	:	650 CEDAR CREEK GRADE STE 100
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-6453
Country	:	US
Telephone Number	:	540-535-0000
Fax Number	:	540-535-0032

Provider Business Practice Location Address
First Line	:	650 CEDAR CREEK GRADE STE 100
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601
Country	:	US
Telephone Number	:	540-535-0000
Fax Number	:	540-535-0032

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

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	09/19/2022

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Directions to “ AJAY VIRMANI MD” Practice Location

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