Provider Demographics
NPI:1487622569
Name:BAKHSHI, VIRAT V (MD)
Entity type:Individual
Prefix:
First Name:VIRAT
Middle Name:V
Last Name:BAKHSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16618 MOUNTAIN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-2649
Mailing Address - Country:US
Mailing Address - Phone:804-883-0052
Mailing Address - Fax:804-883-0054
Practice Address - Street 1:16618 MOUNTAIN RD
Practice Address - Street 2:SUITE B
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192-2649
Practice Address - Country:US
Practice Address - Phone:804-883-0052
Practice Address - Fax:804-883-0054
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101102823207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1750340709OtherGROUP NPI
VA005874050Medicaid
VAC08690Medicare PIN
VA005874050Medicaid
H30520Medicare UPIN