Organization
VIRGINIA PEDIATRIC GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISHNA PAKALAPATI (OFFICE MANAGER)
(703) 573-2432
Entity
Organization
Contact information
Practice address
3020 HAMAKER CT, SUITE 200, FAIRFAX, VA 22031-2238
(703) 573-2432
(703) 280-9350
Mailing address
3020 HAMAKER CT, SUITE 200, FAIRFAX, VA 22031-2238
(703) 573-2432
(703) 280-9350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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