Kadarnath Shammie Boodram in South Prince George - Internal Medicine
Kadarnath Shammie Boodram - NPI 1679546923
Kadarnath Shammie Boodram is a Internal Medicine in South Prince George, Virginia. Kadarnath Shammie Boodram practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kadarnath Shammie Boodram is 1679546923. The last update date is 2023-11-15.
Kadarnath Shammie Boodram's current location address is 410 Ravenscroft Rd, South Prince George, Virginia. You can contact this provider via phone number 8045267900 and fax number 8045267195. The mailing address for Kadarnath Shammie Boodram is 410 Ravenscroft Rd, South Prince George, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kadarnath Shammie Boodram |
|---|---|
| Address | 410 Ravenscroft Rd, South Prince George, Virginia |
| Phone Number | 8045267900 |
| Fax Number | 8045267195 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679546923 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2023-11-15 |
Provider Mailing Address Detail
| Address | 410 Ravenscroft Rd |
|---|---|
| City | South Prince George |
| State | Virginia (VA) |
| Post Code | 238057121 |
| Phone Number | 8045267900 |
| Fax Number | 8045267195 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 101229800 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7404178 | VA | AETNA PPO | |
| 7604973 | VA | GHI | |
| 408689 | VI | UNITED HEALTHCARE | |
| 10124701 | VA | -- | |
| 3689195 | VA | AETNA HMO | |
| 504963 | VA | CIGNA | |
| 254668 | VA | SOUTHERN HEALTH | |
| 172714 | VA | ANTHEM BC/BS | |
| 10124701 | VA | VIRGINIA PREMIERE | |
| 54180 | VA | CARENET |
Post Comment/ Review Below
What is the Kadarnath Shammie Boodram's 1679546923?
The Kadarnath Shammie Boodram's NPI (National Provider Identifier) Number is 1679546923. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kadarnath Shammie Boodram is located?
The Kadarnath Shammie Boodram is situated at the following address: 410 Ravenscroft Rd, South Prince George, VA, 238057121.
What is the area of specialization for Kadarnath Shammie Boodram, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kadarnath Shammie Boodram is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679546923 to Kadarnath Shammie Boodram?
The Centers for Medicare & Medicaid Services assigned the 1679546923 to Kadarnath Shammie Boodram on 2006-02-08.
When was the information related to Kadarnath Shammie Boodram most recently updated or refreshed?
The details pertaining to the Kadarnath Shammie Boodram, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-15.