Individual
SHIKHA S VASUDEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 301, ROANOKE, VA 24014-2465
(540) 981-7715
(540) 981-7965
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101239360
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010314925
—
VA
05
—
010314950
—
VA
05
—
010314976
—
VA
05
—
1598870735
—
VA
Enumeration date
08/20/2006
Last updated
02/12/2024
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