Individual
ARUNACHALAM M VEDHANAYAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1761 PARK AVE SW, NORTON, VA 24273-1626
(276) 325-0461
(276) 325-0469
Mailing address
1761 PARK AVE SW, NORTON, VA 24273
(276) 325-0461
(276) 325-0469
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101023719
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006744435
—
VA
01
—
064175
ANTHEM BLUE CROSS
VA
01
—
1419260
UMWA
VA
Enumeration date
07/31/2006
Last updated
03/15/2013
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