Individual
PRADNYA P SHIRSOLKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25055 RIDING PLZ, SUITE 220, SOUTH RIDING, VA 20152-5917
(703) 722-5840
(703) 722-5821
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 368-3161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101251222
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093949422
—
VA
Enumeration date
05/13/2009
Last updated
05/13/2015
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