Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kanchan Puri Clark, MD

Individual provider Psychiatry Physician · NPI 1649230509

Kanchan Puri Clark, MD is a Psychiatry in Danville, Virginia. Qualified in 1986, 40 years ago. Practices with Prince William County Community Services Board, a 54-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
40
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

382 Taylor Dr
Danville, VA 24541
Phone: (434) 773-4240
Fax: (434) 773-4241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence VA0101057674 (VA)

Record details

NPI number1649230509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Prince William County Community Services Board — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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