Individual
ANDY THANJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5855 BREMO RD STE 706, RICHMOND, VA 23226-1926
(804) 285-8206
Mailing address
2369 STAPLES MILL RD, SUITE 200, RICHMOND, VA 23230-2918
(804) 285-8206
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101251979
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306083696
—
VA
Enumeration date
01/08/2009
Last updated
04/29/2019
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