Provider Demographics
NPI: | 1518639137 |
---|---|
Name: | D & A POWER INC |
Entity Type: | Organization |
Organization Name: | D & A POWER INC |
Other - Org Name: | BUFORD CLINICAL SERVICES |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | AUTHORIZED OFFICIAL |
Authorized Official - Prefix: | |
Authorized Official - First Name: | AMAR |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PATEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | AUTHORIZED OFFICIAL |
Authorized Official - Phone: | 973-944-8870 |
Mailing Address - Street 1: | 2608 BUFORD RD |
Mailing Address - Street 2: | |
Mailing Address - City: | NORTH CHESTERFIELD |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 23235-3422 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 804-272-1423 |
Mailing Address - Fax: | 804-272-7967 |
Practice Address - Street 1: | 2608 BUFORD RD |
Practice Address - Street 2: | |
Practice Address - City: | NORTH CHESTERFIELD |
Practice Address - State: | VA |
Practice Address - Zip Code: | 23235-3422 |
Practice Address - Country: | US |
Practice Address - Phone: | 804-272-1423 |
Practice Address - Fax: | 804-272-7967 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-10-01 |
Last Update Date: | 2021-10-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty |