| Sobha R Paluvoi Md Pc | |
|
19415 Deerfield Ave Suite #210 Lansdowne VA 20176-8452 | |
| (703) 729-8830 | |
| (703) 729-8477 |
| Full Name | Sobha R Paluvoi Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19415 Deerfield Ave, Lansdowne, Virginia |
| Authorized Official Name and Position | Sobha R Paluvoi (PRESIDENT) |
| Authorized Official Contact | 7037298830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sobha R Paluvoi Md Pc 19415 Deerfield Ave Suite #210 Lansdowne VA 20176-8452 Ph: (703) 729-8830 | Sobha R Paluvoi Md Pc 19415 Deerfield Ave Suite #210 Lansdowne VA 20176-8452 Ph: (703) 729-8830 |
| NPI Number | 1972670446 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 04/24/2008 |
| Medicare PECOS PAC ID | 4587647409 |
|---|---|
| Medicare Enrollment ID | O20040611000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972670446 | NPI | - | NPPES |
| 010090245 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 0101235532 (Virginia) | Primary |
| Provider Name | Sobha R Paluvoi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851578850 PECOS PAC ID: 5294718110 Enrollment ID: I20040611000177 |
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