Gomez, Roberto Ariel

Gomez, Roberto Ariel is an individual health care provider with primary practice located at 2Nd Lee St , Charlottesville VA 22908-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Gomez, Roberto Ariel can be contacted via phone (434) 924-2096.

Contact Information

Primary practice address
2Nd Lee St Charlottesville VA 22908-0001
Phone: (434) 924-2096
Fax: (434) 982-4328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 0101036444 Virginia

Profile Details

NPI number 1386764025
LBN Legal business name Gomez, Roberto Ariel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1386764025 NPPES
Virginia MEDICAID 6703577

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