Search › Virginia › 183500000X
Padma Kanakamedala
NPI 1912296054 · on the registry since 2011 · sole proprietor
Practice
- Address
- 20825 Woodpecker Rd
Ettrick, VA 23803 - Phone
- (804) 520-0224
- Fax
- (804) 520-4394
- Organisation at this address
- Eckerd Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia