# JEEVAN ERRABOLU MD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336944321
- **Authorized official:** CHRIS KIRBY (CREDENTIALING ADMINISTRATOR)
- **Authorized official phone:** (301) 565-2250

## Contact information

- **Practice address:** 11130 SUNRISE VALLEY DR STE 120, RESTON, VA 20191-5474
- **Practice address phone:** (571) 376-1135
- **Mailing address:** 11130 SUNRISE VALLEY DR STE 120, RESTON, VA 20191-5474
- **Mailing address phone:** (571) 376-1135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 02/14/2025
- **Last updated:** 02/14/2025