Kadarnath S Boodram Md Llc

NPI 1093926552 - Internal Medicine - 207R00000X

NPI Details
NPI 1093926552
Enumeration Date 05/25/2007
Last Updated 08/10/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHARON SHARON
Position PRACTICE MANAGER
Phone (804) 526-7900
Fax (804) 526-7195
Practice Location
601 OLD WAGNER ROAD
SUITE 103
PETERSBURG VA, 23805-9313, US
Phone (804) 526-7900
Fax (804) 526-7195
Business Location
601 OLD WAGNER ROAD
SUITE 103
PETERSBURG VA, 23805-9313, US
Phone (804) 526-7900
Fax (804) 526-7195
Toxanomy
Taxonomy Code 207R00000X
License State Virginia
License Number 0101229800
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According to our database, Kadarnath S Boodram Md Llc NPI is 1093926552, taxonomy code is 207R00000X and license number is 0101229800, license state is located at Virginia. Kadarnath S Boodram Md Llc physically located at 601 Old Wagner Road, Petersburg VA, 23805-9313. NPI Number 1033115704 has the healthcare provider type.

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1093926552 NPI number is provided on an as is basis without warranty of any kind. 1093926552 is maintained by the National Plan & Provider Enumeration System. The contents of Kadarnath S Boodram Md Llc are for informational purposes only.