Provider Demographics
NPI:1063507143
Name:RAMESH KABARIA MD PC
Entity Type:Organization
Organization Name:RAMESH KABARIA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:P
Authorized Official - Last Name:KABARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-498-4571
Mailing Address - Street 1:PO BOX 751
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:24631
Mailing Address - Country:US
Mailing Address - Phone:276-498-4571
Mailing Address - Fax:276-498-4572
Practice Address - Street 1:13430 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:VA
Practice Address - Zip Code:24631-8967
Practice Address - Country:US
Practice Address - Phone:276-498-4571
Practice Address - Fax:276-498-4572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA064923OtherANTHEM BCBS
VA006033199Medicaid
190267OtherFEDERAL BLACK LUNG
VA064923OtherANTHEM BCBS
190267OtherFEDERAL BLACK LUNG