Individual
ILIANA SIMEONOVA BOUNEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298-5051
(804) 828-4060
(804) 848-5348
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101224242
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64066293
—
KY
Enumeration date
08/03/2006
Last updated
09/15/2011
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