Provider Demographics
NPI:1548225808
Name:KABARIA, RAMESH P (MD)
Entity Type:Individual
Prefix:
First Name:RAMESH
Middle Name:P
Last Name:KABARIA
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 751
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:24631
Mailing Address - Country:US
Mailing Address - Phone:276-498-4571
Mailing Address - Fax:276-498-4572
Practice Address - Street 1:13430 RIVERSIDE DR
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:OAKWOOD
Practice Address - State:VA
Practice Address - Zip Code:24631-8723
Practice Address - Country:US
Practice Address - Phone:276-498-4571
Practice Address - Fax:276-498-4572
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010038640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA064923OtherANTHEM BCBS
VA006033199Medicaid
190267OtherFEDERAL BLACK LUNG
VA064923OtherANTHEM BCBS
VA110002626Medicare PIN