Individual
DR. ANURADHA NEELAM REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3930 WALNUT ST, #101, FAIRFAX, VA 22030-4738
(703) 591-9320
(703) 591-9321
Mailing address
2101 E JEFFERSON ST STE 6W, ROCKVILLE, MD 20852-4908
(301) 816-7405
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101054971
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285160
ANTHEM BLUECROSS/BLUESHIE
—
05
—
5847044
—
VA
Enumeration date
09/15/2006
Last updated
11/19/2021
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