Spadafora, Suzanne Granados
Spadafora, Suzanne Granados is an individual health care provider with primary practice located at 6946 Forest Ave Ste 200 , Richmond VA 23230-1706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Spadafora, Suzanne Granados can be contacted via phone (804) 549-4040.Contact Information
Primary practice address
6946 Forest Ave Ste 200
Richmond VA 23230-1706
Phone: (804) 549-4040
Fax: (804) 549-4032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101234502 | Virginia |
Profile Details
| NPI number | 1912907650 |
|---|---|
| LBN Legal business name | Spadafora, Suzanne Granados |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jul 8th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912907650 | NPPES |
| Other | 7455490 | AETNA | |
| Other | 230864 | AETNA | |
| Other | 266822 | AETNA | |
| MEDICAID | 010011001 | AETNA | |
| Other | 0300593 | AETNA | |
| Other | P00044699 | AETNA |
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