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

Shiba Khorsandi

Individual provider Nephrology Physician · NPI 1710122940

Shiba Khorsandi is an Internal Medicine in Richmond, Virginia. Qualified in 2004, 22 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
22
Licensed in
VA
In the registry since
2008
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Practice location Partly verified

Some contact details are missing from the federal record.

Henrico Doctors Hospital 1602 Skipwith Rd
Richmond, VA 23229-5205
Phone: (804) 280-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 0101261758 (VA)

Record details

NPI number1710122940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2008
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address5240 Drystack Ln, Glen Allen, VA 23059-5830

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southeastern Intensivist Services Pc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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