Organization
MANU R. GADANI, MD PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANU R GADANI MD (PRESIDENT)
(804) 458-2006
Entity
Organization
Contact information
Practice address
5303 PLAZA DR, SUITE--101, HOPEWELL, VA 23860-7331
(804) 458-3629
Mailing address
5303 PLAZA DR, SUITE--101, HOPEWELL, VA 23860-7331
(804) 458-3629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053054
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006002714
—
VA
01
—
010558
CIGNA
VA
01
—
110212740
RAILROAD MEDICARE
VA
01
—
230297
BLUE SHIELD/ANTHEUM
VA
Enumeration date
10/10/2006
Last updated
07/22/2011
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