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Individual

DR. PRAGYA SHRESTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 853-0931
Mailing address
1906 BELLEVIEW AVE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 853-0931

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-249478
VA
207R00000X
Internal Medicine Physician
2007012249
MO
207R00000X
Internal Medicine Physician
2010024976
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VV1927A
MEDICARE PTAN
VA
Enumeration date
07/31/2008
Last updated
03/02/2012
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