Individual
DR. SHRUTHI MANJUNATHA CHANDRASHEKHAR VIJAYALAKSHMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4191 INNSLAKE DR STE 211, GLEN ALLEN, VA 23060-3324
(804) 828-3144
(804) 628-7104
Mailing address
4191 INNSLAKE DR STE 211, GLEN ALLEN, VA 23060-3324
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101250225
VA
Other
Enumeration date
07/28/2010
Last updated
10/01/2024
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