Individual
DR. SHASHIDHARAN B AYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 E 3RD ST, FARMVILLE, VA 23901-2905
(434) 392-7615
(434) 392-7616
Mailing address
PO BOX 245, FARMVILLE, VA 23901-0245
(434) 392-7615
(434) 392-7616
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101047258
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052419
—
VA
Enumeration date
06/04/2006
Last updated
07/08/2007
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