Individual
GOUTHAM CHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9000
Mailing address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010770
VA
Other
Enumeration date
03/08/2025
Last updated
08/08/2025
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