Individual
SRIDHAR NERALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6600 W BROAD ST STE 300, RICHMOND, VA 23230-1709
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY, SUITE 102, RICHMOND, VA 23225-5545
(804) 320-4243
(804) 282-1486
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0102201778
VA
207RP1001X
Pulmonary Disease Physician
Primary
0102201778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010168431
—
VA
01
—
180696
ANTHEM
VA
01
—
315761
SOUTHERN HEALTH
VA
01
—
3774667
AETNA HMO
VA
01
—
57711
SOUTHERN HEALTH CARENET
VA
01
—
6015445
CIGNA
VA
01
—
7176222
MAMSI/ALLIANCE
VA
01
—
7889658
AETNA NON-HMO
VA
01
—
P00244232
MEDICARE RAILROAD
VA
Enumeration date
08/12/2006
Last updated
05/20/2021
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