Organization
EMILY ASHLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SILKY BAGGA M.D. (AUTHORIZED OFFICIAL)
(804) 439-3859
Entity
Organization
Contact information
Practice address
3335 S CRATER RD, PETERSBURG, VA 23805-9214
(804) 765-5445
Mailing address
104 SEVEN PINES AVE, SANDSTON, VA 23150-1600
(804) 439-3859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246465
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215273206
—
VA
Enumeration date
12/19/2012
Last updated
10/27/2014
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