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NPI Code Detail

MEDICARE: VIRGINIA CANCER INSTITUTE INCORPORATED

MEDICARE: VIRGINIA CANCER INSTITUTE INCORPORATED
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
1207U00000XNuclear Medicine Physician
22085R0202XDiagnostic Radiology Physician
32085R0203XTherapeutic Radiology Physician
4261QR0208XMobile Radiology Clinic/Center
5293D00000XPhysiological Laboratory

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00470079OTHERVARAILROAD MEDICARE

General Provider Information

NPI Number : 1922102664
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA CANCER INSTITUTE INCORPORATED
Provider Business Mailing Address
First Line : 7202 GLEN FOREST DR STE 200
Second Line :
City : RICHMOND
State : VA
Zip : 23226-3780
Country : US
Telephone Number : 804-391-4171
Fax Number : 804-200-6229
Provider Business Practice Location Address
First Line : 8007 DISCOVERY DR STE A
Second Line :
City : RICHMOND
State : VA
Zip : 23229-8605
Country : US
Telephone Number : 804-287-3000
Fax Number : 804-673-2731
Authorized Official
Title or Position : MANAGING PARTNER
Name : PABLO M GONZALEZ
Credential : M.D.
Telephone Number : 804-673-0134
Provider Enumeration Date : 09/12/2006
Last Update Date : 05/09/2025

Similar Medicare Providers

1629073473 — DR. ELKE K FRIEDMAN MD
Practice Location Address:
8007 DISCOVERY DR STE A
RICHMOND, VA
23229-8605
Practice Phone: 804-287-3000
Practice Fax: 804-673-2731
1649233289 — JOSEPH P EVERS M.D.
Practice Location Address:
8007 DISCOVERY DR STE A
RICHMOND, VA
23229-8605
Practice Phone: 804-287-3000
Practice Fax: 804-673-2731
1225091267 — REED BRIAN MITCHELL M.D.
Practice Location Address:
8007 DISCOVERY DR STE A
RICHMOND, VA
23229-8605
Practice Phone: 804-287-3000
Practice Fax: 804-673-2731
1396795308 — DAWN FERREE MILLER P.A.
Practice Location Address:
8007 DISCOVERY DR STE A
RICHMOND, VA
23229-8605
Practice Phone: 804-287-3000
Practice Fax: 804-673-2731
1730130980 — VIRGINIA CANCER INSTITUTE INCORPORATED
Practice Location Address:
8007 DISCOVERY DR STE A
RICHMOND, VA
23229-8605
Practice Phone: 804-287-3000
Practice Fax: 804-673-2731
1275580722 — DR. PURVI K SHAH M.D.
Practice Location Address:
8007 DISCOVERY DR STE A
RICHMOND, VA
23229-8605
Practice Phone: 804-287-3000
Practice Fax: 804-673-2731

Directions to “VIRGINIA CANCER INSTITUTE INCORPORATED ” Practice Location

Language Start Address Practice Location
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