Individual
SHIBA KHORSANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HENRICO DOCTORS HOSPITAL, 1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 280-4500
Mailing address
5240 DRYSTACK LN, GLEN ALLEN, VA 23059-5830
(908) 514-5335
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101261758
VA
Other
Enumeration date
12/02/2008
Last updated
08/16/2022
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