Individual
TAUSHA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LEE ST FL 1, CHARLOTTESVILLE, VA 22908-0001
(434) 982-0415
(434) 243-6999
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101245726
VA
390200000X
Student in an Organized Health Care Education/Training Program
4301085578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518083963
—
VA
Enumeration date
03/21/2007
Last updated
06/15/2009
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