Avital, Itzhak

Avital, Itzhak is an individual health care provider with primary practice located at 5875 Bremo Rd Suite 209, Richmond VA 23226-1934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Avital, Itzhak can be contacted via phone (804) 893-8681.

Contact Information

Primary practice address
5875 Bremo Rd Suite 209 Richmond VA 23226-1934
Phone: (804) 893-8681
Fax: (804) 287-8525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101251459 Virginia
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 231941 New York

Profile Details

NPI number 1245512565
LBN Legal business name Avital, Itzhak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2011
Last updated Aug 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245512565 NPPES
Virginia Other C06778 GROUP PTAN
Virginia Other C06695 GROUP PTAN

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