Individual
SHOKOUFEH DIANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 N HAMILTON ST, RICHMOND, VA 23221-2601
(804) 355-4358
Mailing address
201 N HAMILTON ST, RICHMOND, VA 23221-2601
(804) 355-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102205727
VA
207Q00000X
Family Medicine Physician
20A15564
CA
Other
Enumeration date
06/09/2014
Last updated
05/26/2021
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