Shanti Koirala Pradhan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101262492 Issued in VA

Practice address

1201 Broad Rock Blvd
Richmond, VA 23249-0002

Phone

(804) 675-5000

NPI assigned

Aug 13, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Shanti Koirala Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1104235308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 MARY JANE TER",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592401",
            "telephone_number": "310-592-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490002",
            "telephone_number": "804-675-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOIRALA PRADHAN",
        "first_name": "SHANTI",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101262492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTI",
            "last_name": "KOIRALA",
            "prefix": "MISS",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karl G Koenig, M.D.
• Thomas E Koertge, D.M.D.
• Christopher Paul Kogut, MD, MSW
• Susan M Kohler LPC LLC, LPC
• Jennifer Koide
• Alexander Stephen Kolar, DNP, CRNA
• Andrew Wayne Kolb, D.O.
• Megan Elizabeth Kolbe
• Bharadhwaj Kolipakkam, MD
• Miriam Koller Pizzani, MD

• Internal Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.