| Vijaya Kumar Nanda Kumar | |
|
610 Park Ave Nw Norton VA 24273 | |
| (423) 943-9415 | |
| Not Available |
| Full Name | Vijaya Kumar Nanda Kumar |
|---|---|
| Speciality | Family Medicine |
| Location | 610 Park Ave Nw, Norton, Virginia |
| Authorized Official Name and Position | Vijay Kumar (OWNER) |
| Authorized Official Contact | 4239439415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijaya Kumar Nanda Kumar 610 Park Ave Nw Norton VA 24273 Ph: (423) 943-9415 | Vijaya Kumar Nanda Kumar 610 Park Ave Nw Norton VA 24273 Ph: (423) 943-9415 |
| NPI Number | 1336665892 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336665892 | NPI | - | NPPES |
| 0101243187 | Other | VA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101243187 (Virginia) | Primary |
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