Individual
DEEPIKA DUGGINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 MAPLE AVE W, VIENNA, VA 22180-5606
(703) 242-3909
(703) 242-3980
Mailing address
215 MAPLE AVE W, VIENNA, VA 22180-5606
(703) 242-3909
(703) 242-3980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206478
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202206478
PHARMACIST
VA
Enumeration date
04/20/2010
Last updated
04/20/2010
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