Individual
PURUSHOTHAM VENKAT RAMANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(571) 472-4100
Mailing address
8081 INNOVATION PARK DR STE 900, FAIRFAX, VA 22031-4867
(571) 472-4100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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