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NPI Code Detail

MEDICARE: PAVAN ANNAMARAJU MD

MEDICARE: PAVAN ANNAMARAJU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianLP01414RI
2207R00000XInternal Medicine Physician0101253641VA
3207RN0300XNephrology Physician0101253641VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609023837
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAVAN ANNAMARAJU MD
Provider Business Mailing Address
First Line : 671-B HIOAKS ROAD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4072
Country : US
Telephone Number : 804-272-5814
Fax Number : 804-560-0232
Provider Business Practice Location Address
First Line : 671-B HIOAKS ROAD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4072
Country : US
Telephone Number : 804-272-5814
Fax Number : 804-560-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 12/27/2024

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Directions to “ PAVAN ANNAMARAJU MD” Practice Location

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