Individual
SHAINY BABU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 SAILBOAT PL, MIDLOTHIAN, VA 23112-4378
(804) 501-9119
Mailing address
2509 SAILBOAT PL, MIDLOTHIAN, VA 23112-4378
(804) 501-9119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024188026
VA
Other
Enumeration date
10/16/2023
Last updated
10/17/2023
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