Individual
VIDYA REDDY RAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 689-9037
Mailing address
1850 TOWN CENTER PKWY, RESTON, VA 20190-3219
(703) 689-9037
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101260010
VA
Other
Enumeration date
04/15/2013
Last updated
08/25/2016
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