Individual
DR. KAUSALYA PENDYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 HIOAKS RD STE B, RICHMOND, VA 23225-4061
(804) 560-0490
(804) 560-3424
Mailing address
PO BOX 281814, ATLANTA, GA 30384-1814
(804) 560-0490
(804) 560-3424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9425
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831188119
—
VA
Enumeration date
10/19/2005
Last updated
04/02/2025
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