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Individual

SHANTHI S. TATINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3370 PUMP RD, RICHMOND, VA 23233-1130
(804) 360-8061
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101234113
VA

Other

Enumeration date
04/18/2006
Last updated
03/20/2018
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