Individual
LAKSHMI BHAGAVATHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7440 SPRING VILLAGE DR, SPRINGFIELD, VA 22150-4446
(703) 923-4644
(703) 923-4625
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(703) 923-4644
(703) 923-4625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233031
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010201713
—
VA
Enumeration date
07/19/2005
Last updated
02/25/2026
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