Individual
PAVAN NATARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4660 KENMORE AVE STE 516, ALEXANDRIA, VA 22304-1313
(703) 997-0811
(703) 997-0820
Mailing address
112 THOMAS JOHNSON DR STE 210, FREDERICK, MD 21702-4970
(240) 817-0810
(240) 817-0812
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036160076
IL
207KA0200X
Allergy Physician
MD210001682
DC
207R00000X
Internal Medicine Physician
MT215920
PA
Other
Enumeration date
06/09/2018
Last updated
04/08/2026
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