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Individual

RADHIKA A. MANHAPRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
HAMPTON VAMC 100 EMANCIPATION DRIVE, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
4509 WHITE CHAPEL DRIVE, VIRGINIA BEACH, VA 23455
(757) 460-4655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301069879
MI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
01011252176
VA
208M00000X
Hospitalist Physician
0101252176
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300207909
TAX ID
MI
05
4692200
MI
01
P00206767
PALMETTO MEDICARE
Enumeration date
08/10/2005
Last updated
05/26/2021
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