Most Relevant Information
Provider Data
| NPI Number: | 1003299389 |
| Provider Name: | PALAK KACHHADIA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2015 |
| Last Updated: | 07/16/2018 |
Provider Practice Location
3060 GODWIN BLVD
SUFFOLK
VA
23434
Practice Location Phone/Fax
| Phone: | 7579239660 |
| Fax: | 7579239665 |
Provider Mailing Location
PO BOX 7068
PORTSMOUTH
VA
237070068
Provider Mailing Phone/Fax
| Phone: | 7576863508 |
| Fax: | 7576860541 |