Provider Demographics
NPI:1275514861
Name:DIXIT, BRINDA MAYUR (MD)
Entity Type:Individual
Prefix:DR
First Name:BRINDA
Middle Name:MAYUR
Last Name:DIXIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:516 INNOVATION DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3866
Mailing Address - Country:US
Mailing Address - Phone:757-277-9927
Mailing Address - Fax:757-277-9928
Practice Address - Street 1:516 INNOVATION DR
Practice Address - Street 2:SUITE 204
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3866
Practice Address - Country:US
Practice Address - Phone:757-277-9927
Practice Address - Fax:757-277-9928
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2015-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101235009207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010296650Medicaid
VAC09697Medicare Oscar/Certification
VA010296650Medicaid
VA00W798B01Medicare PIN