# VITAL CARE ENDOCRINOLOGY, LLC

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

## Provider details

- **NPI number:** 1992312029
- **Authorized official:** NEEHARIKA REPAKA MD (OWNER)
- **Authorized official phone:** (540) 889-0199

## Contact information

- **Practice address:** 1830 TOWN CENTER DR STE 306, RESTON, VA 20190-3217
- **Practice address phone:** (571) 450-8300
- **Practice address fax:** (571) 450-8301
- **Mailing address:** 1830 TOWN CENTER DR STE 306, RESTON, VA 20190-3217
- **Mailing address phone:** (571) 450-8300
- **Mailing address fax:** (571) 450-8301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 01/05/2021