Unknown Individual – Internal Medicine Physician, NPI 1366738817
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2524 SADDLE RIDGE CIRCLE
PULASKI, VA 24301
Phone: (540) 980-5188
Fax: (540) 980-0120
Type: Location
P.O. BOX 912
BROADWAY, VA 22815
Phone: (703) 505-8147
Fax: (540) 980-0120
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24301)
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