Individual
SHRAVAN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225
(804) 483-0000
Mailing address
PO BOX 2187, GLEN ALLEN, VA 23058-2187
(804) 714-4524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101264455
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
11/15/2019
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