Individual
MS. SHANTI KOIRALA PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0002
(804) 675-5000
Mailing address
4528 MARY JANE TER, GLEN ALLEN, VA 23059-2401
(310) 592-9769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101262492
VA
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
03/10/2026
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