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NAG RAJ BIRUDAVOL M.D. NPI 1669429312


NPI Information

NPI: 1669429312
Provider Name: NAG RAJ BIRUDAVOL, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4600 SPOTSYLVANIA PKWY
FREDERICKSBURG, VA
ZIP 22408
Phone: (540) 498-4901
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Nag Raj Birudavol, M.D. is an emergency medicine in Fredericksburg, VA with 53 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Nag Raj Birudavol, M.D. NPI is 1669429312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4600 SPOTSYLVANIA PKWY
FREDERICKSBURG, VA
ZIP 22408-762
Phone: (540) 498-4901

The NPI 1669429312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 11/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine49484MASSACHUSETTSNo
2207P00000XEmergency MedicineR5365TEXASNo
3207P00000XEmergency Medicine0107-4694AINDIANANo
4207P00000XEmergency Medicine0101-034-785VIRGINIANo
5207P00000XEmergency Medicine11997WEST VIRGINIANo
6207P00000XEmergency MedicineD00-75072MARYLANDNo
7207P00000XEmergency Medicine35-048539OHIONo
8207P00000XEmergency Medicine58601KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.