Provider Demographics
NPI:1619042173
Name:VIRGINIA PSYCHIATRIC ASSOCIATES, INC.
Entity Type:Organization
Organization Name:VIRGINIA PSYCHIATRIC ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZIR
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-330-8101
Mailing Address - Street 1:P.O. BOX 13135
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-0135
Mailing Address - Country:US
Mailing Address - Phone:804-330-8101
Mailing Address - Fax:804-330-2938
Practice Address - Street 1:7135 JAHNKE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-330-8101
Practice Address - Fax:804-330-2938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010279592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007184069Medicaid
012557OtherANTHEM
031829OtherVALUE OPTIONS
031829OtherVALUE OPTIONS
VA262949284Medicare ID - Type Unspecified
VAVAA104621Medicare UPIN