Individual
MR. PADMALATHA DHARANIKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 327-4047
Mailing address
7101 JAHNKE RD, SUITE 611, RICHMOND, VA 23225-4017
(804) 327-4046
(804) 327-4047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237077
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010167221
—
VA
Enumeration date
10/31/2005
Last updated
01/11/2008
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