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Individual

DR. VARATHARAJ MOUNASAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS, MS

Contact information

Practice address
1250 E MARSHALL ST, ORTHOPAEDIC SURGERY, RICHMOND, VA 23298-5051
(804) 828-9296
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101240717
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101240717
VA

Other

Enumeration date
05/18/2007
Last updated
08/06/2007
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