| Gaddipati Pllc | |
|
24430 Millstream Dr Aldie VA 20105-3098 | |
| (703) 957-2000 | |
| Not Available |
| Full Name | Gaddipati Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24430 Millstream Dr, Aldie, Virginia |
| Authorized Official Name and Position | Swapna Gaddipati (PRESIDENT) |
| Authorized Official Contact | 7038303454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaddipati Pllc Po Box 4075 Ashburn VA 20148-0004 Ph: (703) 830-3454 | Gaddipati Pllc 24430 Millstream Dr Aldie VA 20105-3098 Ph: (703) 957-2000 |
| NPI Number | 1144574492 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 12/03/2012 |
| Medicare PECOS PAC ID | 4486809993 |
|---|---|
| Medicare Enrollment ID | O20130308000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144574492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101246037 (Virginia) | Primary |
| Provider Name | Swapna Gaddipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063679546 PECOS PAC ID: 1355496381 Enrollment ID: I20091028000107 |
| Provider Name | Padmavathi Murakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285906602 PECOS PAC ID: 1254588809 Enrollment ID: I20120904000491 |
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