Individual
DR. PRAMOD K MOHANTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, 1201 BROAD ROCK BLVD, RICHMOND, VA 23298-5051
(804) 675-5444
(804) 675-5420
Mailing address
311 VICTORIA WAY, RICHMOND, VA 23238-7117
(804) 784-0365
(804) 675-5420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101023354
VA
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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