| Vihaan Sai Krishna, LLC | |
|
2420 Maplewood Ave Richmond VA 23220-5700 | |
| (804) 387-1643 | |
| (804) 213-9783 |
| Full Name | Vihaan Sai Krishna, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2420 Maplewood Ave, Richmond, Virginia |
| Authorized Official Name and Position | Kavitha Krottapalli (PRESIDENT) |
| Authorized Official Contact | 8043871643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vihaan Sai Krishna, LLC Po Box 11768 Richmond VA 23230-0168 | Vihaan Sai Krishna, LLC 2420 Maplewood Ave Richmond VA 23220-5700 Ph: (804) 387-1643 |
| NPI Number | 1043895576 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Medicare PECOS PAC ID | 7315355526 |
|---|---|
| Medicare Enrollment ID | O20210427002416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043895576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Kavitha Krottapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134118144 PECOS PAC ID: 6103891221 Enrollment ID: I20040831001452 |
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