Provider Demographics
NPI:1306810049
Name:GAVRIS, MIHAI F (MD)
Entity type:Individual
Prefix:
First Name:MIHAI
Middle Name:F
Last Name:GAVRIS
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 1:5801 BREMO ROAD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1907
Mailing Address - Country:US
Mailing Address - Phone:804-285-0620
Mailing Address - Fax:804-285-0726
Practice Address - Street 1:5801 BREMO ROAD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-285-0620
Practice Address - Fax:804-285-0726
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12876207R00000X
VA0101249874208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1091787OtherAETNA PIN
NH494439OtherTUFTS PIN
NHH70079OtherANTHEM REFERRING UPIN
NH01YP08682NH01OtherANTHEM BCBS PIN
NHH70079OtherHARVARD PILGRIM PIN
NH30205438Medicaid
NH5938755OtherCIGNA PIN
NH1091787OtherAETNA PIN
NHH70079OtherANTHEM REFERRING UPIN
NH494439OtherTUFTS PIN