| Organization Name: | GORADIA ORTHOPEDICS, PLLC |
| NPI Number: | 1003032541 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIPOOL KIRIT GORADIA (PRESIDENT) |
| Mailing Address: | 281 East Hundred Rd Chester |
| State: | VA US |
| Postal Code: | 23836 |
| Phone Number: | 8044521635 |
| Fax Number: | 8044521638 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 0101059293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |