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Organization

INFECTIOUS DISEASE SPECIALISTS OF NOVA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAVANYA NUTANKALVA M.D. (PRESIDENT)
(571) 235-6705
Entity
Organization

Contact information

Practice address
3732 FREEHILL LN, FAIRFAX, VA 22033-5304
(571) 235-6705
(866) 511-1256
Mailing address
3732 FREEHILL LN, FAIRFAX, VA 22033-5304
(571) 235-6705
(866) 511-1256

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
07/03/2007
Last updated
07/20/2007
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