Individual
JANINE L THEKKEKANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE 207, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Mailing address
10800 MIDLOTHIAN TPKE, SUITE 207, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101251483
VA
Other
Enumeration date
06/23/2008
Last updated
05/28/2014
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