Provider Demographics
NPI:1073959219
Name:NANDAN, ABHISHEK (MD)
Entity Type:Individual
Prefix:
First Name:ABHISHEK
Middle Name:
Last Name:NANDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1201 BROAD ROCK BLVD
Mailing Address - Street 2:111M - DEPARTMENT OF RHEUMATOLOGY
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249-0509
Mailing Address - Country:US
Mailing Address - Phone:804-675-5000
Mailing Address - Fax:804-675-5000
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:111M - DEPARTMENT OF RHEUMATOLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:804-675-5000
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2018-06-28
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Provider Licenses
StateLicense IDTaxonomies
VA0101259912207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine