Individual
SHERRY LYNN PENLAND-ISMATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2531
(540) 731-5264
Mailing address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2531
(540) 731-5264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102-203107
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV6541A
MEDICARE PTAN
VA
01
—
VV6541B
MEDICARE PTAN
VA
Enumeration date
04/06/2009
Last updated
07/07/2021
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