Individual
DANNY W FELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7611 FOREST AVE STE 410, RICHMOND, VA 23229-4946
(804) 773-7611
(804) 324-3434
Mailing address
7611 FOREST AVE STE 410, RICHMOND, VA 23229-4946
(804) 773-7611
(804) 324-3434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101102681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017042P77
MEDICARE PTAN
VA
05
—
1730164971
—
VA
01
—
P00648486
RR MEDICARE
VA
Enumeration date
12/09/2005
Last updated
02/26/2025
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