Individual
SANJAY KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-2001
(434) 243-4288
(434) 243-7310
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101282163
VA
208M00000X
Hospitalist Physician
Primary
0101282163
VA
Other
Enumeration date
04/23/2019
Last updated
08/30/2024
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