Individual
SHAUN ANDREW SPADAFORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-6000
Mailing address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497732143
—
VA
01
—
186520
ANTHEM BCBS
VA
01
—
302011
ANTHEM
VA
01
—
4667482
CIGNA
VA
01
—
631591
SOUTHERN HEALTH
VA
01
—
P00130348
RR MEDICARE
VA
Enumeration date
12/23/2005
Last updated
02/19/2008
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