| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KADARNATH S BOODRAM MD LLC | 1093926552 | 2024-03-10 |
The organization Kadarnath S Boodram Md Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1093926552. Registration indicates Kadarnath S Boodram Md Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Address | City / State | Phone / Fax |
|---|---|---|
| 430 Clairmont Ct Ste 123 | Colonial Heights, VA 238341770 | 8045267900 / 8045267195 |
| 601 Old Wagner Road Suite 103 | Petersburg, VA 238059313 | 8045267900 / 8045267195 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 0101229800
VA |
| 193400000X SING | Group Code |
| 0408689 | OTHER | VA | UNITED HEALTHCA |
| 7604973 | OTHER | VA | GHI |
| 010124701 | MEDICAID | VA | |
| 8130003 | OTHER | VI | MAMSI |
| 0504963 | OTHER | VI | CIGNA |
| 254668 | OTHER | VI | SOUOTHERN HEALT |
| 3689195 | OTHER | VA | AETNA HMO |
| 54180 | OTHER | VI | CARENET |
| 172714 | OTHER | VA | ANTHEM |
| 7404178 | OTHER | VA | AETNA PPO |
| 94167 | OTHER | VA | SENTARA OPTIMA |