Individual
SAIVARSHITH PEDDIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21298 SOUTHOLME WAY, ASHBURN, VA 20147-6089
(703) 593-9721
Mailing address
21298 SOUTHOLME WAY, ASHBURN, VA 20147-6089
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PEDD-LT0MLY
NC
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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