# VIJAYA KUMAR NANDA KUMAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WHOLISTIC PRIMARY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336665892
- **Authorized official:** VIJAY KUMAR MD (OWNER)
- **Authorized official phone:** (423) 943-9415

## Contact information

- **Practice address:** 610 PARK AVE NW, NORTON, VA 24273
- **Practice address phone:** (423) 943-9415
- **Mailing address:** 610 PARK AVE NW, NORTON, VA 24273
- **Mailing address phone:** (423) 943-9415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101243187 | VA | Yes |

## Other

- **Enumeration date:** 08/16/2017
- **Last updated:** 07/21/2022