Individual
ANNA K VINNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298-5051
(804) 828-9682
(804) 828-7567
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054909
VA
207RN0300X
Nephrology Physician
0101054909
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5828708 541581185
—
VA
Enumeration date
10/31/2006
Last updated
01/31/2012
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