Individual
AISHA VENUGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8356 BELL CREEK RD, MECHANICSVILLE, VA 23116-3813
(804) 559-5437
Mailing address
8356 BELL CREEK RD, MECHANICSVILLE, VA 23116-3813
(804) 559-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101272104
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2022-02747
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2018
Last updated
06/24/2025
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