Healthcare Provider Details

I. General information

NPI: 1043307416
Provider Name (Legal Business Name): PADMINI BALASHANKAR ATRI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 01/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 STONY POINT PKWY STE 240
RICHMOND VA
23235-2443
US

IV. Provider business mailing address

9020 STONY POINT PKWY STE 240
RICHMOND VA
23235
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-5236
  • Fax: 804-282-5547
Mailing address:
  • Phone: 804-282-5236
  • Fax: 804-282-5547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101029130
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: