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Individual

KIRSHAN K TAYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7544
Mailing address
201 WILD PARTRIDGE LN, RADFORD, VA 24141-4210

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101-031037
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7309864
VA
Enumeration date
02/16/2006
Last updated
04/28/2008
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