Provider Demographics
NPI:1992898050
Name:KAPA-KALAHASTY, NANDITA (MD)
Entity type:Individual
Prefix:DR
First Name:NANDITA
Middle Name:
Last Name:KAPA-KALAHASTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NANDITA
Other - Middle Name:
Other - Last Name:KAPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4620 S LABURNUM AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2424
Mailing Address - Country:US
Mailing Address - Phone:804-226-2444
Mailing Address - Fax:804-222-0458
Practice Address - Street 1:4620 S LABURNUM AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2424
Practice Address - Country:US
Practice Address - Phone:804-226-2444
Practice Address - Fax:804-222-0458
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240389208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC05700OtherGROUP PTAN
VAC06193OtherGROUP PTAN