Provider Demographics
NPI:1306996863
Name:VIRGINIA ONCOLOGY CARE, P.C.
Entity type:Organization
Organization Name:VIRGINIA ONCOLOGY CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADHAVAN
Authorized Official - Middle Name:V
Authorized Official - Last Name:PILLAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-963-0292
Mailing Address - Street 1:2951 FRONT ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-2055
Mailing Address - Country:US
Mailing Address - Phone:276-963-0292
Mailing Address - Fax:276-963-1185
Practice Address - Street 1:2951 FRONT ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2055
Practice Address - Country:US
Practice Address - Phone:276-963-0292
Practice Address - Fax:276-963-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101032256174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08230Medicare PIN