| NPI | 1538348388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRIDHAR VENKATRAMAN BHAT President 804-780-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0101030754) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2014-12-22 |