Provider Demographics
NPI:1295194983
Name:VMG SPECIALISTS PC
Entity Type:Organization
Organization Name:VMG SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-524-2260
Mailing Address - Street 1:601 OLD WAGNER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-9313
Mailing Address - Country:US
Mailing Address - Phone:804-524-2260
Mailing Address - Fax:804-524-0096
Practice Address - Street 1:601 OLD WAGNER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-9313
Practice Address - Country:US
Practice Address - Phone:804-524-2260
Practice Address - Fax:804-524-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty