Individual
TANGADA PREMA SUDHA RAO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1201 BROAD ROCK BLVD, MCGUIRE VA MEDICAL CENTER, DEPT OF RHEUMATOLOGY (111M), RICHMOND, VA 23249-0001
(804) 675-5470
(804) 675-5318
Mailing address
1201 BROAD ROCK BLVD, MCGUIRE VA MEDICAL CENTER, DEPT OF RHEUMATOLOGY (111M), RICHMOND, VA 23249
(804) 675-5470
(804) 675-5318
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101048709
VA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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