Individual
LASYA AMPATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8401 CONNECTICUT AVE PH, CHEVY CHASE, MD 20815-5822
(888) 663-6331
Mailing address
8401 CONNECTICUT AVE PH, CHEVY CHASE, MD 20815-5822
(415) 658-6791
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010412
MD
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/07/2025
Last updated
04/16/2026
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