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Individual

SHOBA P MENDU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
661 INDEPENDENCE PKWY STE 120, CHESAPEAKE, VA 23320-5114
(754) 547-0798
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
(901) 377-8219
(901) 328-1355

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101247608
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952522161
VA
Enumeration date
05/02/2007
Last updated
03/27/2026
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