Individual
DR. SHILPI PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3960 STILLMAN PKWY, SUITE 120, GLEN ALLEN, VA 23060-4197
(804) 270-3333
(804) 270-9333
Mailing address
3960 STILLMAN PKWY, SUITE 120, GLEN ALLEN, VA 23060-4197
(804) 270-3333
(804) 270-9333
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101252063
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015127842
—
VA
01
—
VV8581E321
MEDICARE PTAN
VA
Enumeration date
05/21/2007
Last updated
02/07/2016
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