Organization
CENTURY PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA P MADIRAJU M.D (PRESIDENT)
(703) 899-7593
Entity
Organization
Contact information
Practice address
385 GARRISONVILLE RD, STAFFORD, VA 22554-1545
(540) 288-1551
(540) 288-8387
Mailing address
22445 CONSERVANCY DR, ASHBURN, VA 20148-8068
(703) 899-7593
(540) 288-8387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004905
VA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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