| Jeevan Errabolu MD PLLC | |
|
11130 Sunrise Valley Dr Ste 120 Reston VA 20191-5474 | |
| (571) 376-1135 | |
| Not Available |
| Full Name | Jeevan Errabolu MD PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 11130 Sunrise Valley Dr Ste 120, Reston, Virginia |
| Authorized Official Name and Position | Chris Kirby (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 3015652250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeevan Errabolu MD PLLC 11130 Sunrise Valley Dr Ste 120 Reston VA 20191-5474 Ph: (571) 376-1135 | Jeevan Errabolu MD PLLC 11130 Sunrise Valley Dr Ste 120 Reston VA 20191-5474 Ph: (571) 376-1135 |
| NPI Number | 1336944321 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336944321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208100000X | Physical Medicine & Rehabilitation | () | Secondary |
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