Individual
SUNDEEP DEORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 521-1061
Mailing address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
(804) 521-1061
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101260400
VA
208800000X
Urology Physician
39800
IA
208800000X
Urology Physician
57011357
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558572842
—
VA
Enumeration date
05/25/2007
Last updated
10/28/2020
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