Provider Demographics
NPI:1073719332
Name:CENTRAL VIRGINIA MEDICINE PLLC
Entity Type:Organization
Organization Name:CENTRAL VIRGINIA MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULAGHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-785-3801
Mailing Address - Street 1:4500 PLANK RD
Mailing Address - Street 2:SUIT 1030
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-0120
Mailing Address - Country:US
Mailing Address - Phone:540-785-3801
Mailing Address - Fax:
Practice Address - Street 1:4500 PLANK RD
Practice Address - Street 2:SUIT 1030
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-0120
Practice Address - Country:US
Practice Address - Phone:540-785-3801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty