| Ab Optimal Medicalcare Llc | |
|
12013 Ivy Hollow Ct Glen Allen VA 23059-7531 | |
| (804) 929-2421 | |
| (804) 282-9133 |
| Full Name | Ab Optimal Medicalcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12013 Ivy Hollow Ct, Glen Allen, Virginia |
| Authorized Official Name and Position | Anish J Badodariya (PRESIDENT SOLE OWNER) |
| Authorized Official Contact | 8049292421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ab Optimal Medicalcare Llc 12013 Ivy Hollow Ct Glen Allen VA 23059-7531 Ph: (804) 929-2421 | Ab Optimal Medicalcare Llc 12013 Ivy Hollow Ct Glen Allen VA 23059-7531 Ph: (804) 929-2421 |
| NPI Number | 1902617442 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Medicare PECOS PAC ID | 0345761573 |
|---|---|
| Medicare Enrollment ID | O20250305000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902617442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anish Badodariya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629235619 PECOS PAC ID: 8729153689 Enrollment ID: I20080812000865 |
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