Individual
DR. SOMA NARASIMHA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
8907 PERIWINKLE BLUE CT, LORTON, VA 22079-5700
(240) 210-1641
Mailing address
8907 PERIWINKLE BLUE CT, LORTON, VA 22079-5700
(240) 210-1641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101025624
VA
208000000X
Pediatrics Physician
D17986
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036211500
—
MD
Enumeration date
06/16/2005
Last updated
01/09/2016
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