Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 0618002658 | VA |
NPI | 1003301789 |
---|---|
Provider Name | Raihana Sherdil |
First Address | Richmond, VA 23226-3330 |
Second Address | Richmond, VA 23226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2018 |
Last Update Date | 16/07/2018 |