Healthcare Provider Details

I. General information

NPI: 1972437267
Provider Name (Legal Business Name): SYNAPSES NEUROLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 GASKINS RD STE C
RICHMOND VA
23238-1483
US

IV. Provider business mailing address

12198 KAIN RD
GLEN ALLEN VA
23059-5717
US

V. Phone/Fax

Practice location:
  • Phone: 804-476-2390
  • Fax: 804-848-8293
Mailing address:
  • Phone: 551-689-3286
  • Fax: 804-848-8293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SOUNDARYA NAGARAJA GOWDA
Title or Position: MANAGER
Credential: MD
Phone: 551-689-3286