Provider Demographics
NPI:1558561167
Name:ROLLE, ANISHKA SHONIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANISHKA
Middle Name:SHONIQUE
Last Name:ROLLE
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:P. O. BOX 189
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834
Mailing Address - Country:US
Mailing Address - Phone:804-526-6062
Mailing Address - Fax:804-526-9094
Practice Address - Street 1:110 DUNLOP VLG
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-1764
Practice Address - Country:US
Practice Address - Phone:804-526-6062
Practice Address - Fax:804-526-9094
Is Sole Proprietor?:No
Enumeration Date:2007-07-21
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116018992207R00000X
RILD02024207RR0500X
VA0101251031207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine