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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