Individual
DR. KAVITHA KISHORE NAKKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8301 ARLINGTON BLVD, SUITE # T-5, FAIRFAX, VA 22031-2902
(703) 560-0404
(703) 560-0202
Mailing address
12601 WINTER WREN CT, OAK HILL, VA 20171-1830
(703) 560-0404
(703) 560-0202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
VA0101234646
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010051291
—
VA
01
—
G01506K01
MEDICARE RR
—
Enumeration date
08/09/2006
Last updated
09/05/2013
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