Individual
NIDHI REVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
700 S WASHINGTON ST STE 300, ALEXANDRIA, VA 22314-4287
(703) 940-3364
(703) 717-4055
Mailing address
700 S WASHINGTON ST STE 300, ALEXANDRIA, VA 22314-4287
(703) 940-3364
(703) 717-4055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002141
VA
363AM0700X
Medical Physician Assistant
PA030381
DC
Other
Enumeration date
12/02/2010
Last updated
12/01/2021
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