Organization
CM PRASAD MD PC
Active
Organization
CM PRASAD MD PC
Active
Other names
Crossroads Professional Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANNAVAJJALA PRASAD MD PHD (OWNER)
(703) 750-2013
Entity
Organization
Contact information
Practice address
7501 LITTLE RIVER TPKE, STE 301, ANNANDALE, VA 22003-2923
(703) 750-2013
Mailing address
7501 LITTLE RIVER TPKE, STE 301, ANNANDALE, VA 22003-2923
(703) 750-2013
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101041720
VA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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