Raghavan, Vidya

Raghavan, Vidya is an individual health care provider with primary practice located at 5855 Bremo Rd Suite 408, Richmond VA 23226-1930. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Raghavan, Vidya can be contacted via phone (804) 288-2673.

Contact Information

Primary practice address
5855 Bremo Rd Suite 408 Richmond VA 23226-1930
Phone: (804) 288-2673
Fax: (804) 285-5572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60901847 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 0101253367 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 240418 Massachusetts

Profile Details

NPI number 1194955286
LBN Legal business name Raghavan, Vidya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Dec 19th, 2023 - about last year

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 1194955286 NPPES
Virginia Other C06778 GROUP PTAN

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