Individual
SUZANNE GRANADOS SPADAFORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6946 FOREST AVE STE 200, RICHMOND, VA 23230-1706
(804) 549-4040
(804) 549-4032
Mailing address
7201 GLEN FOREST DR STE 100, RICHMOND, VA 23226-3759
(804) 549-4030
(804) 549-4032
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101234502
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010011001
—
VA
01
—
0300593
UNITED HEALTHCARE
—
01
—
230864
SOUTHERN HEALTH
—
01
—
266822
ANTHEM
—
01
—
7455490
AETNA
—
01
—
P00044699
RAILROAD MEDICARE
—
Enumeration date
07/22/2005
Last updated
07/08/2025
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