Shravan Gaddam MD

NPI 1427269547 - Family Medicine - 207Q00000X

NPI Details
NPI 1427269547
Gender Male
Enumeration Date 05/24/2007
Last Updated 08/12/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2118 ROSALIND AVE SW
ROANOKE VA, 24014-1718, US
Phone (540) 981-7653
Fax
Business Location
3105 HONEYWOOD LN # 1
ROANOKE VA, 24018-8865, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0116017097
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According to our database, Shravan Gaddam MD NPI is 1427269547, taxonomy code is 207Q00000X and license number is 0116017097, license state is located at Virginia. Shravan Gaddam MD physically located at 2118 Rosalind Ave Sw, Roanoke VA, 24014-1718. NPI Number Shravan Gaddam MD has the Individual type.

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1427269547 NPI number is provided on an as is basis without warranty of any kind. 1427269547 is maintained by the National Plan & Provider Enumeration System. The contents of Shravan Gaddam MD are for informational purposes only.