Provider Demographics
NPI:1609360528
Name:SAKTHI, SHEHNAZ B (NP-C (FAMILY))
Entity Type:Individual
Prefix:MS
First Name:SHEHNAZ
Middle Name:B
Last Name:SAKTHI
Suffix:
Gender:F
Credentials:NP-C (FAMILY)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 GINTER ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5846
Mailing Address - Country:US
Mailing Address - Phone:804-502-7345
Mailing Address - Fax:
Practice Address - Street 1:13456 WELBY MEWS
Practice Address - Street 2:MIDLOTHIAN
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23113-3664
Practice Address - Country:US
Practice Address - Phone:804-737-7804
Practice Address - Fax:804-737-8973
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily