# SANDY RIVER FAMILY CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL FAMILY CARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932354222
- **Legal business name:** MEMORIAL FAMILY CARE INC
- **Authorized official:** RAJENDRA S TRIVEDI MD (PRESIDENT)
- **Authorized official phone:** (434) 685-7095

## Contact information

- **Practice address:** 4520 MEDICAL CENTER RD, AXTON, VA 24054-2822
- **Practice address phone:** (434) 685-7095
- **Practice address fax:** (434) 797-1300
- **Mailing address:** 309 S MAIN ST, DANVILLE, VA 24541-2925
- **Mailing address phone:** (434) 797-4150
- **Mailing address fax:** (434) 797-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101053147 | VA | Yes |

## Other

- **Enumeration date:** 12/01/2008
- **Last updated:** 09/10/2013