Organization
ORTHOPEDIC INJURY CARE OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIPOOL K GORADIA MD (MEMBER MANAGER)
(804) 938-9727
Entity
Organization
Contact information
Practice address
5211 W BROAD ST STE 101, RICHMOND, VA 23230-3000
(804) 288-3025
Mailing address
100 CONCOURSE BLVD STE 150, GLEN ALLEN, VA 23059-5751
(804) 938-9727
(804) 377-1246
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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