Individual
SOWJANYA BHAGAVATULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
(703) 490-8400
Mailing address
14139 POTOMAC MILLS RD, WOODBRIDGE, VA 22192-4644
(703) 490-8400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NA
NJ
Other
Enumeration date
05/10/2007
Last updated
06/03/2021
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