Provider Demographics
NPI:1427016526
Name:VIGNESHWAR, SUCHARITHA (MD)
Entity Type:Individual
Prefix:
First Name:SUCHARITHA
Middle Name:
Last Name:VIGNESHWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 BREMO RD
Mailing Address - Street 2:STE 206
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:804-282-5001
Mailing Address - Fax:804-282-5008
Practice Address - Street 1:5855 BREMO RD
Practice Address - Street 2:STE 206
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-282-5001
Practice Address - Fax:804-282-5008
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101226514207V00000X
OH35070649V207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7735110OtherAETNA NON HMO
VA39131OtherCARENET
VA9549257OtherCIGNA
VA141641OtherANTHEM
VA2883469OtherAETNA HMO
VA187605OtherSOUTHERN HEALTH
VA0701666OtherUNITED HEALTH CARE
VA26982OtherOPTIMA
VA0298147OtherGHI
VA26982OtherSENTARA
VA26982OtherSENTARA