Individual
KRISHNA VANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5700 FITZHUGH AVE, RICHMOND, VA 23226-1800
(908) 279-5086
Mailing address
12342 SMITH GROVE CT, GLEN ALLEN, VA 23059-7176
(908) 279-5086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102206643
VA
Other
Enumeration date
05/10/2013
Last updated
11/22/2022
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