MEDICARE: MRS. PADMINI SANTOSH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0101232179	VA

General Provider Information

NPI Number	:	1437120904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PADMINI SANTOSH MD

Provider Business Mailing Address
First Line	:	1212 KOGER CENTER BOULEVARD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4778
Country	:	US
Telephone Number	:	804-897-2100
Fax Number	:	804-897-9074

Provider Business Practice Location Address
First Line	:	13801 ST FRANCIS BLVD STE 150
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23114-3206
Country	:	US
Telephone Number	:	804-897-2100
Fax Number	:	804-897-9074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	02/21/2022

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