Individual
JARUWIT TY RERGYAMDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9783
Mailing address
6275 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 23502-2851
(757) 466-0089
(757) 466-8017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101289168
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0116035841
VA
Other
Enumeration date
04/05/2021
Last updated
05/05/2026
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