Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kadarnath S Boodram MD LLC

Organization Internal Medicine Physician · NPI 1093926552

Kadarnath S Boodram MD LLC is an Internal Medicine Physician in Prince George, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4300 Crossings Blvd Ste 101
Prince George, VA 23875-1452
Phone: (804) 526-7900
Fax: (804) 526-7195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Old Wagner Road, Petersburg, VA 23805-9313 — (804) 526-7900

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101229800 (VA)

Record details

NPI number1093926552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Boodram — Practice Manager · (804) 526-7900
Other names K.S. Boodram, Md Pllc; K.S. Boodram, Md Pllc
NPI enumeratedMay 25, 2007
Last updated in NPPESMarch 10, 2024
Certification dateMarch 10, 2024
Mailing address4300 Crossings Blvd Ste 101, Prince George, VA 23875-1452

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