| Dada Bhagwan Inc | |
|
5028 Hickory Meadows Pl Glen Allen VA 23059-2653 | |
| (804) 514-6958 | |
| (804) 282-9135 |
| Full Name | Dada Bhagwan Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5028 Hickory Meadows Pl, Glen Allen, Virginia |
| Authorized Official Name and Position | Pauravi H Sanghadia (AUTHORIZED OFFICIAL/MEDICAL DOCTOR) |
| Authorized Official Contact | 8045146958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dada Bhagwan Inc Po Box 31494 Henrico VA 23294-1494 Ph: (804) 514-6958 | Dada Bhagwan Inc 5028 Hickory Meadows Pl Glen Allen VA 23059-2653 Ph: (804) 514-6958 |
| NPI Number | 1114564721 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 12/02/2019 |
| Medicare PECOS PAC ID | 0648691212 |
|---|---|
| Medicare Enrollment ID | O20200608000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114564721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pauravi Harkisandas Sanghadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609946201 PECOS PAC ID: 0446357214 Enrollment ID: I20110804000511 |
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