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NPI Code Detail

MEDICARE: LINDA BURKETT M.D.

MEDICARE: LINDA BURKETT M.D.
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
1207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianMT215373PA
2207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician0101272498VA

General Provider Information

NPI Number : 1982022877
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA BURKETT M.D.
Provider Business Mailing Address
First Line : PO BOX 780125
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-0125
Country : US
Telephone Number : 804-922-4844
Fax Number :
Provider Business Practice Location Address
First Line : 3400 HAYDENPARK LN # 1
Second Line :
City : HENRICO
State : VA
Zip : 23233-7867
Country : US
Telephone Number : 804-322-1180
Fax Number : 804-364-6674
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 05/17/2023

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