Provider Demographics
NPI:1356832935
Name:AMRUTIYA, VIRALKUMAR S (MD)
Entity Type:Individual
Prefix:
First Name:VIRALKUMAR
Middle Name:S
Last Name:AMRUTIYA
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:PO BOX 980160
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0160
Mailing Address - Country:US
Mailing Address - Phone:804-828-9683
Mailing Address - Fax:
Practice Address - Street 1:1200 EAST BROAD STREET FL 6
Practice Address - Street 2:SUITE 661
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5025
Practice Address - Country:US
Practice Address - Phone:804-828-3149
Practice Address - Fax:804-828-4926
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-20
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program