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NPI Code Detail

MEDICARE: SHRADDHA MURTHY

MEDICARE:   SHRADDHA  MURTHY
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
1225100000XPhysical Therapist2305206262VA

General Provider Information

NPI Number : 1801134515
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHRADDHA MURTHY
Provider Business Mailing Address
First Line : 4333 ELECTRIC RD
Second Line : APT 4A
City : ROANOKE
State : VA
Zip : 24018-8439
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4355 PHEASANT RIDGE RD
Second Line :
City : ROANOKE
State : VA
Zip : 24014-5272
Country : US
Telephone Number : 540-725-8210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2013
Last Update Date : 01/30/2013

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Directions to “ SHRADDHA MURTHY ” Practice Location

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