Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101259912 | VA |
N | 111NI0900X | Internist | 0101259912 | VA |
Y | 207RR0500X | Rheumatology | 0101259912 | VA |
NPI | 1073959219 |
---|---|
Provider Name | Abhishek Nandan |
First Address | Richmond, VA 23249-0509 |
Second Address | Richmond, VA 23249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2013 |
Last Update Date | 28/06/2018 |