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Individual

DR. SUDHAKAR CHANDRAKUMAR RELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 S CRATER RD, PETERSBURG, VA 23805-9252
(804) 733-6960
(804) 733-3880
Mailing address
3400 S CRATER RD, PETERSBURG, VA 23805-9252
(804) 733-6960
(804) 733-3880

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101042037
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710944434
VA
Enumeration date
04/27/2006
Last updated
04/25/2013
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