KADARNATH S BOODRAM MD LLC NPI 1093926552

NPI Information

  • NPI: 1093926552
  • Provider Name: KADARNATH S BOODRAM MD LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: K.S. BOODRAM, MD PLLC
  • Address: 4300 CROSSINGS BLVD STE 101
    PRINCE GEORGE, VA
    ZIP 23875
  • Phone: (804) 526-7900

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NPI Details

KADARNATH S BOODRAM MD LLC is an internal medicine in Prince George, VA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KADARNATH S BOODRAM MD LLC NPI is 1093926552. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As K.s. Boodram, Md Pllc.

The provider's business location address is:

4300 CROSSINGS BLVD STE 101
PRINCE GEORGE, VA
ZIP 23875-452
Phone: (804) 526-7900
Fax: (804) 526-7195

The provider's authorized official is Sharon Boodram .
The authorized official title is Practice Manager and has the following contact phone number (804) 526-7900.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 3/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine0101229800VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10408689OTHERVIRGINIAUNITED HEALTHCARE
27604973OTHERVIRGINIAGHI
3010124701MEDICAIDVIRGINIA
48130003OTHERVIRGIN ISLANDSMAMSI
50504963OTHERVIRGIN ISLANDSCIGNA
6254668OTHERVIRGIN ISLANDSSOUOTHERN HEALTH
73689195OTHERVIRGINIAAETNA HMO
854180OTHERVIRGIN ISLANDSCARENET
9172714OTHERVIRGINIAANTHEM
107404178OTHERVIRGINIAAETNA PPO
1194167OTHERVIRGINIASENTARA OPTIMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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