Provider Demographics
NPI:1497817852
Name:VIRGINIA PHYSICIANS, INC.
Entity Type:Organization
Organization Name:VIRGINIA PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDERIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-346-1507
Mailing Address - Street 1:PO BOX 28598
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-8598
Mailing Address - Country:US
Mailing Address - Phone:804-346-1507
Mailing Address - Fax:804-915-0035
Practice Address - Street 1:7702 E PARHAM RD
Practice Address - Street 2:SUITE 304
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4371
Practice Address - Country:US
Practice Address - Phone:804-346-1507
Practice Address - Fax:804-915-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA10107328207RG0100X
VA0101235462207RG0100X
VA207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB4718Medicare PIN
VAC06701Medicare PIN