Healthcare Provider Details

I. General information

NPI: 1013259688
Provider Name (Legal Business Name): GAYATHRI KRISHNAVENI NARAPARAJU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 BREMO RD STE 605
RICHMOND VA
23226-1926
US

IV. Provider business mailing address

5855 BREMO RD STE 605
RICHMOND VA
23226-1926
US

V. Phone/Fax

Practice location:
  • Phone: 804-287-7827
  • Fax:
Mailing address:
  • Phone: 804-287-7827
  • Fax: 804-281-8380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number0101269591
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: