Jay Pavan
Physical Medicine & Rehabilitation Doctor
325 Charles H Dimmock Pkwy Ste 100
Colonial Heights
, Virginia 23834-2986
Jay Pavan
Physical Medicine & Rehabilitation Doctor
325 Charles H Dimmock Pkwy Ste 100
Colonial Heights
, Virginia 23834-2986
(804) 530-1857
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Jay Pavan
- 13000 Rivers Bend Blvd Ste D
- Chester, VA
- Zip : 23836-8632
- Fax : (804) 530-1857
- Phone : (804) 571-5106
Second Address
- Jay Pavan
- 325 Charles H Dimmock Pkwy Ste 100
- Colonial Heights, VA
- Zip : 23834-2986
- Fax : (804) 526-5401
- Phone : (804) 526-5888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101222130 | VA |
National Provider Identifier
| NPI | 1033118260 |
|---|---|
| Provider Name | Jay Pavan |
| First Address | Chester, VA 23836-8632 |
| Second Address | Colonial Heights, VA 23834-2986 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 05/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 006800530 | (05) | VA |
| 200039821 | RAILROAD MEDICARE (01) | VA |
| H097570 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.