Provider Demographics
NPI:1376967497
Name:DERMATOLOGY CENTER OF RICHMOND PC
Entity Type:Organization
Organization Name:DERMATOLOGY CENTER OF RICHMOND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HAYRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGIRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:804-916-7062
Mailing Address - Street 1:7650 E PARHAM RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4373
Mailing Address - Country:US
Mailing Address - Phone:804-916-7062
Mailing Address - Fax:804-643-2291
Practice Address - Street 1:7650 E PARHAM RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4373
Practice Address - Country:US
Practice Address - Phone:804-916-7062
Practice Address - Fax:804-643-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201569207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty