NPIMap

Surekha Parikh, MD

Individual provider Active NPI General Practice Physician · Madison Heights, VA

NPI 1205018991 · NPPES record last updated Dec 4, 2007

Key facts

NPI
1205018991
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
0101030604 (VA)
Practice address
521 Colony Rd
Madison Heights, VA 24572-2105
Phone
(434) 947-6320
Fax
(434) 947-2906
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101030604VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Training Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101030604 VA Yes

Addresses

Primary practice location

521 Colony Rd
Madison Heights, VA 24572-2105

Mailing address

PO Box 1098
Lynchburg, VA 24505-1098
Phone (434) 947-6320

Other providers in Madison Heights, VA

All providers in Madison Heights, VA · General Practice Physician in Virginia

Sources for this page

Verify at the official NPI Registry.