Healthcare Provider Details

I. General information

NPI: 1013297696
Provider Name (Legal Business Name): SANTHA K ALLAGADDA NP -C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2011
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E MARSHALL ST SURGERY
RICHMOND VA
23298-5051
US

IV. Provider business mailing address

9701 PEMBERTON CROSSING DR
RICHMOND VA
23294-5346
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-9298
  • Fax: 804-828-4858
Mailing address:
  • Phone: 804-840-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1013297696
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1013297696
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: