Individual
PRASADARAO S VELUGUBANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8230 LEESBURG PIKE STE 630, VIENNA, VA 22182-2641
(703) 861-9404
Mailing address
8230 LEESBURG PIKE STE 630, VIENNA, VA 22182-2641
(703) 861-9404
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101033701
VA
Other
Enumeration date
07/05/2006
Last updated
02/26/2009
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