Individual
DR. SUPRADA SRINIVASA VINYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 439-1000
Mailing address
45 RIVER DR S APT 610, JERSEY CITY, NJ 07310-3706
(602) 820-8401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116036339
VA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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