Individual
DR. ANISH JAYANTILAL BADODARIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-0620
Mailing address
400 CAMELOT CT, APT. 401, PITTSBURGH, PA 15220-2551
(412) 207-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT186610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629235619
—
VA
Enumeration date
05/19/2008
Last updated
04/24/2009
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