Organization
EYE DOCTOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILPI PRADHAN M.D. (PRESIDENT)
(540) 819-2571
Entity
Organization
Contact information
Practice address
3960 STILLMAN PKWY, SUITE 120, GLEN ALLEN, VA 23060-4197
(804) 270-3333
(804) 270-9333
Mailing address
3960 STILLMAN PKWY, SUITE 120, GLEN ALLEN, VA 23060-4197
(804) 270-3333
(804) 270-9333
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015133730
—
VA
01
—
E321
MEDICARE
VA
Enumeration date
01/08/2015
Last updated
02/07/2016
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