INDWELL HEALTH AND WELLNESS.LLC NPI 1689119646

NPI Information

  • NPI: 1689119646
  • Provider Name: INDWELL HEALTH AND WELLNESS.LLC
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Doing Business As: ALLERGY AND ASTHMA OF VIRGINIA
  • Address: 1019A VISTA PARK DR
    FOREST, VA
    ZIP 24551
  • Phone: (434) 515-0419

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NPI Details

INDWELL HEALTH AND WELLNESS.LLC is an allergy immunology in Forest, VA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. INDWELL HEALTH AND WELLNESS.LLC NPI is 1689119646. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allergy And Asthma Of Virginia.

The provider's business location address is:

1019A VISTA PARK DR
FOREST, VA
ZIP 24551-901
Phone: (434) 515-0419
Fax: (844) 693-9305

The provider's authorized official is Luis A Matos .
The authorized official title is Medical Director and has the following contact phone number (434) 252-0026.

The enumeration date for this NPI number is 12/30/2016 and was last updated on 4/12/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology0101056392VIRGINIAYes
2208000000XPediatrics0101056392VIRGINIANo
32080P0201XPediatricsPediatric Allergy/Immunology0101056392VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15804426MEDICAIDVIRGINIA

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: 3/30/2025

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