Individual
SAMANTHA PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7229 FOREST AVE STE 111, RICHMOND, VA 23226
(804) 687-4793
(855) 618-2628
Mailing address
7229 FOREST AVE STE 111, RICHMOND, VA 23226-3765
(804) 687-4793
(855) 618-2623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116029138
VA
208D00000X
General Practice Physician
Primary
0101265448
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/15/2016
Last updated
11/14/2018
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