Basic Information
Provider Information
NPI: 1437120904
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANTOSH
FirstName: PADMINI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1212 KOGER CENTER BOULEVARD
Address2:  
City: NORTH CHESTERFIELD
State: VA
PostalCode: 232354778
CountryCode: US
TelephoneNumber: 8048972100
FaxNumber: 8048979074
Practice Location
Address1: 13801 ST FRANCIS BLVD STE 150
Address2:  
City: MIDLOTHIAN
State: VA
PostalCode: 231143206
CountryCode: US
TelephoneNumber: 8048972100
FaxNumber: 8048979074
Other Information
ProviderEnumerationDate: 01/31/2006
LastUpdateDate: 02/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X0101232179VAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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