Individual
SHRAVAN GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2118 ROSALIND AVE SW, ROANOKE, VA 24014-1718
(540) 981-7653
Mailing address
3105 HONEYWOOD LN # 1, ROANOKE, VA 24018-8865
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116017097
VA
Other
Enumeration date
05/24/2007
Last updated
08/12/2011
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