Organization
KADARNATH S BOODRAM MD LLC
Active
Organization
KADARNATH S BOODRAM MD LLC
Active
Other names
K.S. Boodram, MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BOODRAM (PRACTICE MANAGER)
(804) 526-7900
Entity
Organization
Contact information
Practice address
4300 CROSSINGS BLVD STE 101, PRINCE GEORGE, VA 23875-1452
(804) 526-7900
(804) 526-7195
Mailing address
4300 CROSSINGS BLVD STE 101, PRINCE GEORGE, VA 23875-1452
(804) 526-7900
(804) 526-7195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101229800
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010124701
—
VA
01
—
0408689
UNITED HEALTHCARE
VA
01
—
0504963
CIGNA
VI
01
—
172714
ANTHEM
VA
01
—
254668
SOUOTHERN HEALTH
VI
01
—
3689195
AETNA HMO
VA
01
—
54180
CARENET
VI
01
—
7404178
AETNA PPO
VA
01
—
7604973
GHI
VA
01
—
8130003
MAMSI
VI
01
—
94167
SENTARA OPTIMA
VA
Enumeration date
05/25/2007
Last updated
03/10/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up