Doctor Name: | ANNAPURNA CHAVALI RAO |
NPI Number: | 1275648131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 30374 |
Business Practice Address: | 9900 Vale Rd Vienna, VA - 221814074 |
Business Phone Number: | 2196144893 |
Business Fax Number: | 7032554984 |
Mailing Address: | 9900 Vale Rd, VIENNA |
State: | VA |
Postal Code: | 221814074 |
Phone Number: | 2196144893 |
Fax Number: | 7032554984 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 06/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 30374 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |