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Individual

RAVI SRINIVAS SWAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
6355 WALKER LANE, SUITE 308, ALEXANDRIA, VA 22310-3247
(703) 313-7700
(703) 313-0178
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101245011
VA
207Y00000X
Otolaryngology Physician
A93257
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164555363
VA
05
30016578930001
VA
Enumeration date
03/14/2007
Last updated
03/19/2024
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