Organization
RELIANT MD GROUP LLC
Active
Organization
RELIANT MD GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN MANCHIREDDY MD (OWNER/MEDICAL DIRECTOR)
(703) 994-6655
Entity
Organization
Contact information
Practice address
19450 DEERFIELD AVE STE 325, LEESBURG, VA 20176-8503
(703) 994-6655
(571) 291-2752
Mailing address
ATTN. LORI GRIMM, 20349 MEDALIST DRIVE, ASHBURN, VA 20147
(703) 994-6655
(571) 291-2752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101254080
VA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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