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Individual

DR. ANAND ARAVINDAKSHAKURUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
4050 INNSLAKE DR, SUITE 308, GLEN ALLEN, VA 23060-3327
(804) 521-5315
(804) 521-5312
Mailing address
4050 INNSLAKE DR, SUITE 308, GLEN ALLEN, VA 23060-3327
(804) 521-5315
(804) 521-5312

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238279
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010184606
VA
05
1356435663
VA
01
1541859
CIGNA
VA
01
302011
ANTHEM
VA
01
P00601110
MEDICARE RAILROAD
VA
Enumeration date
10/03/2006
Last updated
09/23/2009
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