Organization
JYOTHI GADDE MD PA
Active
Other names
Allergy and Asthma Specialists of Greater Washington
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTHI GADDE MD (OWNER)
(540) 428-1715
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR, STE 304, FAIRFAX, VA 22033-1744
(703) 648-0015
(703) 648-0047
Mailing address
493 BLACKWELL ROAD, STE 305, WARRENTON, VA 20186-2628
(540) 428-1715
(540) 428-1716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101056351
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007603436
—
VA
Enumeration date
03/13/2008
Last updated
07/14/2010
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