Individual
NISHANTH SUKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 MEDICAL PARK BLVD, SUITE 200, PETERSBURG, VA 23805-9338
(804) 431-1100
(804) 862-1094
Mailing address
7202 GLEN FOREST DR, SUITE 200, RICHMOND, VA 23226-3781
(804) 673-2024
(804) 673-1796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD434764
PA
207RH0003X
Hematology & Oncology Physician
Primary
0101254006
VA
208M00000X
Hospitalist Physician
MD434764
PA
Other
Enumeration date
06/03/2008
Last updated
02/22/2024
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