Mediko, PC
NPI #1659658805 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1659658805
- Entity Type
- Organization
- Organization Name
- Mediko, PC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Nov 15, 2011
- Last Updated
- Nov 15, 2011
Practice Location
- Address
- 301 CONCOURSE BLVD
- Address 2
- SUITE 210
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23059-5643
- Phone
- (804) 433-1010
Authorized Official
- Name
- DR. KAVEH OFOGH, M.D.
- Title
- PRESIDENT
- Phone
- (804) 433-1040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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