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Individual

DR. MATHULA THANGARAJH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-0442
(804) 628-5854
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0101266496
VA

Other

Enumeration date
01/23/2008
Last updated
10/01/2019
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