Ab Optimal Medicalcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AB OPTIMAL MEDICALCARE LLC

Practice address

12013 Ivy Hollow CT
Glen Allen, VA 23059-7531

Phone

(804) 929-2421

Fax

(804) 282-9133

NPI assigned

Jan 15, 2025

Last updated

Jan 15, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anish J Badodariya, MDNPI 1629235619

Title

President Sole Owner

Phone

(804) 929-2421

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anish Jayantilal Badodariya, M.D.

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1629235619
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1902617442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12013 IVY HOLLOW CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597531",
            "telephone_number": "804-929-2421",
            "fax_number": "804-282-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12013 IVY HOLLOW CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597531",
            "telephone_number": "804-929-2421",
            "fax_number": "804-282-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB OPTIMAL MEDICALCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "BADODARIYA",
        "authorized_official_first_name": "ANISH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT SOLE OWNER",
        "authorized_official_telephone_number": "804-929-2421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.