Provider Demographics
NPI:1124051628
Name:SABHARWAL, VIPAL K (MD)
Entity type:Individual
Prefix:DR
First Name:VIPAL
Middle Name:K
Last Name:SABHARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7001 FOREST AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1726
Mailing Address - Country:US
Mailing Address - Phone:804-288-3123
Mailing Address - Fax:804-288-6591
Practice Address - Street 1:7001 FOREST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1726
Practice Address - Country:US
Practice Address - Phone:804-288-3123
Practice Address - Fax:804-288-6591
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050393174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA060055037OtherRAILROAD MEDICARE
VA368758OtherUNITED HEALTHCARE
VA005827213Medicaid
VA5878766OtherAETNA
VA96642OtherSOUTHERN HEALTH
VA8571646OtherCIGNA
VA96642OtherSOUTHERN HEALTH
VA060000940Medicare ID - Type Unspecified