Individual
NANDITA KRISHNA PADIYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Mailing address
3241 WESTERN BRANCH BLVD, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101246463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000389878
PROVIDER BC/BS NUMBER
OH
05
—
1487733234
—
VA
Enumeration date
11/03/2006
Last updated
08/19/2010
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