Individual
DR. CHANDRESH VITHAL VIRADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 JIM MASON CT, WARNER ROBINS, GA 31088-8965
(478) 971-4001
(478) 971-4004
Mailing address
100 JIM MASON CT, WARNER ROBINS, GA 31088-8965
(478) 971-4001
(478) 971-4004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
053050
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
053050
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
053050
GA
Other
Enumeration date
05/05/2006
Last updated
12/02/2014
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