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401 N 12TH ST RICHMOND VA 232985035
SAMPATH GUNDA is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1477865301. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6002124047. The primary specialty is INTERNAL MEDICINE. The organization is MCV ASSOCIATED PHYSICIANS. The address is 401 N 12TH ST, , RICHMOND, VA, 232985035. The zip code is 232985035.
|Nation Provider ID||1477865301|
|PAC ID by PECOS||6002124047|
|Professional Enrollment ID||I20150924002340|
|Medical School Name||OTHER|
|Primary Specialty||INTERNAL MEDICINE|
|All secondary specialties|
|Organization Name||MCV ASSOCIATED PHYSICIANS|
|Group Practice PAC ID||4385542117|
|Number of Group Practice members||127|
|Address||401 N 12TH ST, , RICHMOND, VA, 232985035|
|Hospital affiliation LBN||VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY|