Organization
PRIMA MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHETHANA V RAO M.D (DIRECTOR)
(703) 870-3750
Entity
Organization
Contact information
Practice address
3903 FAIR RIDGE DR, SUITE 218, FAIRFAX, VA 22033-2943
(703) 870-3750
(703) 594-8604
Mailing address
3903 FAIR RIDGE DR, SUITE 218, FAIRFAX, VA 22033-2943
(703) 870-3750
(703) 594-8604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235757
VA
Other
Enumeration date
03/08/2010
Last updated
09/25/2014
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