Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0101260247 | VA |
N | 207PP0204X | Pediatric Emergency Physician | 0101260247 | VA |
Y | 2080P0204X | Pediatric Emergency Doctor | 0101260247 | VA |
NPI | 1336589829 |
---|---|
Provider Name | Dr. Nadira Ramkellawan |
First Address | Leesburg, VA 20176-5101 |
Second Address | Leesburg, VA 20176-5101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 14/10/2020 |