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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