Individual
DR. RENU REGUNATHAN-SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3930 WALNUT ST STE 101, FAIRFAX, VA 22030-4750
(703) 246-9246
(703) 246-9257
Mailing address
3930 WALNUT ST STE 101, FAIRFAX, VA 22030-4750
(703) 246-9246
(703) 246-9257
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101263061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101263061
MEDICAL LICENSE
VA
Enumeration date
04/19/2011
Last updated
05/23/2024
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