Healthcare Provider Details

I. General information

NPI: 1740568435
Provider Name (Legal Business Name): ANURADHA NAIDU-MCCOWN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANURADHA NAIDU MD

II. Dates (important events)

Enumeration Date: 07/28/2011
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 JAHNKE RD
RICHMOND VA
23225-4044
US

IV. Provider business mailing address

3818 SEMINARY AVE
RICHMOND VA
23227-4112
US

V. Phone/Fax

Practice location:
  • Phone: 804-483-0040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME171780
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number262410
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101253256
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: