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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PADMA KANAKAMEDALA

Active Sole Proprietor

PADMA KANAKAMEDALA is a Pharmacist healthcare provider located in ETTRICK, Virginia. NPI 1912296054 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · ETTRICK, VA

Registration Details

NPI Number
1912296054
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2011 (15.367147066799 yrs)
Last Updated
Mar 29, 2011
License
0202207352 (VA)
Sole Proprietor
Yes

Practice Information

Address
20825 WOODPECKER RD
ETTRICK, VA, 238032573
Browse VA providers · Browse ZIP 23803
Phone
8045200224
Fax
8045204394
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in ETTRICK, VA

Name Credential NPI
TAMI CONNER MEDEIROS 1043518301
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.