Organization
GADDIPATI PLLC
Active
Organization
GADDIPATI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SWAPNA GADDIPATI M.D. (PRESIDENT)
(703) 991-9778
Entity
Organization
Contact information
Practice address
24430 MILLSTREAM DR, ALDIE, VA 20105-3098
(703) 957-2000
Mailing address
PO BOX 2271, FAIRFAX, VA 22031-0271
(703) 991-9778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
0101246037
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/07/2012
Last updated
05/18/2026
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