Individual
MS. MYSORE VIJAYENDRA MAITRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
22505 LANDMARK CT STE 210, ASHBURN, VA 20148-6502
(571) 612-6600
(571) 612-6601
Mailing address
22505 LANDMARK CT STE 210, ASHBURN, VA 20148-6502
(571) 612-6600
(571) 612-6601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101250502
VA
207R00000X
Internal Medicine Physician
223454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02217265
—
NY
Enumeration date
10/25/2006
Last updated
10/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us