| Virginia Integrated Primary Care And Weight Loss Center Llc | |
|
1455 Johnston Willis Dr North Chesterfield VA 23235-4730 | |
| (804) 537-8472 | |
| (804) 537-8471 |
| Full Name | Virginia Integrated Primary Care And Weight Loss Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1455 Johnston Willis Dr, North Chesterfield, Virginia |
| Authorized Official Name and Position | Rafia Samdani (PRESIDENT) |
| Authorized Official Contact | 8042129217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Integrated Primary Care And Weight Loss Center Llc Po Box 11768 Richmond VA 23230-0168 Ph: (804) 281-3319 | Virginia Integrated Primary Care And Weight Loss Center Llc 1455 Johnston Willis Dr North Chesterfield VA 23235-4730 Ph: (804) 537-8472 |
| NPI Number | 1538985379 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 02/25/2025 |
| Medicare PECOS PAC ID | 7810425196 |
|---|---|
| Medicare Enrollment ID | O20250114003629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538985379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafia Samdani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144481219 PECOS PAC ID: 9234355884 Enrollment ID: I20140717001156 |
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