Individual
DR. KADARNATH SHAMMIE BOODRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 CROSSINGS BLVD STE 101, PRINCE GEORGE, VA 23875-1452
(804) 526-7900
(804) 526-7195
Mailing address
410 RAVENSCROFT RD, SOUTH PRINCE GEORGE, VA 23805-7121
(804) 526-7900
(804) 526-7195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101229800
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010124701
VIRGINIA PREMIERE
VA
05
—
010124701
—
VA
01
—
0408689
UNITED HEALTHCARE
VI
01
—
0504963
CIGNA
VA
01
—
172714
ANTHEM BC/BS
VA
01
—
254668
SOUTHERN HEALTH
VA
01
—
3689195
AETNA HMO
VA
01
—
54180
CARENET
VA
01
—
7404178
AETNA PPO
VA
01
—
7604973
GHI
VA
01
—
8130003
MAMSI
VA
01
—
94167
SENTARA/OPTIMA
VI
Enumeration date
02/08/2006
Last updated
03/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us