Organization
A M VEDHA, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARUNACHALAM M. VEDHANAYAKAM M.D. (PRESIDENT)
(276) 325-0461
Entity
Organization
Contact information
Practice address
1761 PARK AVE., SOUTHWEST, NORTON, VA 24273-1626
(276) 325-0461
(276) 325-0469
Mailing address
1761 PARK AVE., SOUTHWEST, NORTON, VA 24273-1626
(276) 325-0461
(276) 325-0469
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101023719
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006744435
—
VA
01
—
064175
ANTHEM BLUE CROSS BLUE SHIELD
VA
Enumeration date
04/24/2009
Last updated
04/11/2013
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