Organization
VIRTUAL CONSULT MD LLC
Active
Organization
VIRTUAL CONSULT MD LLC
Active
Other names
Virtual Consult MD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL JARIWALA MD (OWNER)
(678) 200-0048
Entity
Organization
Contact information
Practice address
2202 HWY 41 NORTH, UNIT E 152, HENDERESON, KY 42420
(812) 848-2322
(812) 727-5469
Mailing address
1222 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8002
(812) 720-3800
(812) 727-5469
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53374
MEDICAL LICENSE
KY
Enumeration date
08/27/2020
Last updated
12/20/2023
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