Individual
MADHUSUDHAN REDDY KASIPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8353 GREENSBORO DR STE A&B, MC LEAN, VA 22102-3530
(848) 667-0516
Mailing address
13206 FOX RIPPLE LN, HERNDON, VA 20171-3042
(848) 667-0516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414354
VA
122300000X
Dentist
DS037550
PA
Other
Enumeration date
07/07/2008
Last updated
08/10/2015
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