LOKNATH SHANDILYA


Address: 95 Medical Park Blvd, Petersburg, VA 23805-9280
Phone: 8044503650

LOKNATH SHANDILYA (NPI# 1114960846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114960846
Entity Type Individual
Full Name LOKNATH SHANDILYA
Credential MD
Practice Address 95 Medical Park Blvd
Petersburg
VA 23805-9280
Mailing Address 210 Rivers Bend Cir
Chester
VA 23836-2554
Practice Telephone 8044503650
Mailing Telephone 8044513650
Enumeration Date 2006-06-13
Last Update Date 2016-06-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 0101053136 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA BC/BS PROVIDER # 453261 01
VA 005862884 05

Office Location

Street Address 95 MEDICAL PARK BLVD
City PETERSBURG
State VA
Zip Code 23805-9280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285636894 Redouane Goulmamine Physical Medicine & Rehabilitation 95 Medical Park Blvd, Petersburg, VA 23805-9280 2005-08-12
1538625058 Christina Mason Occupational Therapist 95 Medical Park Blvd, Petersburg, VA 23805-9280 2019-02-20
1467900167 Golden Physician Partners, LLC Physical Medicine & Rehabilitation 95 Medical Park Blvd, Petersburg, VA 23805-9280 2016-09-12
1184020828 Ellyse Johns Physical Therapist 95 Medical Park Blvd, Petersburg, VA 23805-9280 2014-11-07
1922417237 Emily Ashley Family Medicine 95 Medical Park Blvd, Petersburg, VA 23805-9280 2014-08-12
1477846640 Midlothian Rehabilitation Associates Pllc Physical Medicine & Rehabilitation 95 Medical Park Blvd, Petersburg, VA 23805-9280 2011-05-22
1497872980 Team Rehab, Inc Specialist 95 Medical Park Blvd, Petersburg, VA 23805-9280 2007-03-22
1245392190 Tri-city Health Care LLC Internal Medicine 95 Medical Park Blvd, Petersburg, VA 23805-9280 2006-12-15
1386662203 Prabhakaran K Nambiar Physical Medicine & Rehabilitation 95 Medical Park Blvd, Petersburg, VA 23805-9280 2006-07-18
1235110511 Martin W Yee Physical Medicine & Rehabilitation 95 Medical Park Blvd, Petersburg, VA 23805-9280 2005-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134690647 Miles Viant Occupational Therapist 287 E Blvd, Petersburg, VA 23805 2018-12-10
1245756964 Dexter Shabazz Lett Registered Nurse 10543 S. Crater Rd, S. Prince George, VA 23805 2017-08-15
1891145876 Taylor Enhanced Living Counselor 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 2016-06-21
1700255205 Ina Thompson Counselor 272 Medical Park Boulevard, Petersburg, VA 23805 2015-09-15
1932582541 Valeria Edda Madrid Malo Bohorquez Internal Medicine 50 Medical Park Blvd Ste C, Petersburg, VA 23805 2015-06-30
1548642788 Justin Andrew Phillingane Podiatrist 3335 S Crater Rd Ste 500, Petersburg, VA 23805 2015-06-24
1225417082 Paladin Dermatology LLC Nurse Practitioner 44 A& B Medical Park Blvd, Petersburg, VA 23805 2015-05-27
1245652544 Family Services Inc. Health Maintenance Organization 1045 Gustavo Lane, Petersburg, VA 23805 2014-01-06
1619268075 Charlene Belangia Massage Therapist 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 2011-04-20
1760709638 Caresouth Hha Holdings of Virginia, LLC Home Health 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 2010-04-30
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932582541 Valeria Edda Madrid Malo Bohorquez Internal Medicine 50 Medical Park Blvd Ste C, Petersburg, VA 23805 2015-06-30
1669715116 Sean Ryan Murney Internal Medicine 261 Medical Park Blvd, Petersburg, VA 23805-9337 2013-04-03
1538328844 Nishanth Sukumaran Internal Medicine 210 Medical Park Blvd, Suite 200, Petersburg, VA 23805-9338 2008-06-03
1033308069 Physician Associates Ltd Internal Medicine 531 S Sycamore St, Petersburg, VA 23803-5039 2007-10-16
1457455958 Bruce W Leslie Internal Medicine Grant Memorial Drive, Pidc Building - Suite 102, Petersburg, WV 26847-1716 2006-09-13
1447354956 Stephen Craig Thompson Internal Medicine 65 Hospital Dr Ste 102, Petersburg, WV 26847-9549 2006-09-13
1679594030 Olumuyiwa Akinniyi Ojediran Internal Medicine 734 South Sycamore Street, Petersburg, VA 23803 2006-07-21
1861460057 John Talmadge Marshall Internal Medicine 700 S Sycamore St, Suite 4, Petersburg, VA 23803-5802 2006-03-14
1679546923 Kadarnath Shammie Boodram Internal Medicine 601 Old Wagner Road, Suite 103, Petersburg, VA 23805-9313 2006-02-08
1346220480 Harindran Theruvath Internal Medicine 26317 West Washington St.ext., Petersburg, VA 23803-0030 2006-01-17
Find all providers in PETERSBURG

Competitor

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City PETERSBURG
Zip Code 23805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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