Dada Bhagwan INC

NPI #1114564721 in Glen Allen, Virginia

Provider Information

NPI Number: 1114564721
Entity Type: Organization
Organization Name: Dada Bhagwan INC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 2, 2019
Last Updated: Dec 2, 2019

Practice Location

Address: 5028 HICKORY MEADOWS PL
City: Glen Allen
State: Virginia
ZIP Code: 23059-2653
Phone: (804) 514-6958

Authorized Official

Name: PAURAVI H SANGHADIA, MD
Title: AUTHORIZED OFFICIAL/MEDICAL DOCTOR
Phone: (804) 514-6958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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