Organization
VIJAYA KUMAR NANDA KUMAR
Active
Other names
WHOLISTIC PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY KUMAR MD (OWNER)
(423) 943-9415
Entity
Organization
Contact information
Practice address
610 PARK AVE NW, NORTON, VA 24273
(423) 943-9415
Mailing address
610 PARK AVE NW, NORTON, VA 24273
(423) 943-9415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243187
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101243187
LICENSE
VA
Enumeration date
08/16/2017
Last updated
07/21/2022
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