Organization
NOVA INTERNAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESWER ADDANKI (PRESIDENT)
(703) 435-3333
Entity
Organization
Contact information
Practice address
3930 WALNUT ST, SUITE 101, FAIRFAX, VA 22030-4738
(703) 435-3333
(703) 481-3977
Mailing address
PO BOX 710012, HERNDON, VA 20171-0012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101246084
VA
Other
Enumeration date
09/22/2010
Last updated
03/15/2018
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