Individual
DR. KADARNATH SHAMMIE BOODRAM
Active
Individual
DR. KADARNATH SHAMMIE BOODRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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