Organization
MEDIKO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVEH OFOGH M.D. (PRESIDENT)
(804) 433-1040
Entity
Organization
Contact information
Practice address
301 CONCOURSE BLVD, SUITE 210, GLEN ALLEN, VA 23059-5643
(804) 433-1010
(804) 433-1055
Mailing address
301 CONCOURSE BLVD, SUITE 210, GLEN ALLEN, VA 23059-5643
(804) 433-1010
(804) 433-1055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
VA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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