Provider Demographics
NPI:1225002645
Name:PUROHIT, GIRISH (MD)
Entity Type:Individual
Prefix:
First Name:GIRISH
Middle Name:
Last Name:PUROHIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-1131
Mailing Address - Country:US
Mailing Address - Phone:434-392-4370
Mailing Address - Fax:434-392-6023
Practice Address - Street 1:900 W 3RD ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1131
Practice Address - Country:US
Practice Address - Phone:434-392-4370
Practice Address - Fax:434-392-6023
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027862207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005805473Medicaid
VA005805473Medicaid
VAB09777Medicare UPIN
VA005805473Medicaid