Individual
MS. RESHMA V PUTHOTTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8101 HINSON FARM RD STE 308, ALEXANDRIA, VA 22306-3408
(703) 738-4378
(703) 642-1876
Mailing address
11350 MCCORMICK RD, BLDG 1, STE. 501, HUNT VALLEY, MD 21031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005817
VA
363A00000X
Physician Assistant
C06507
MD
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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