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Individual

DR. RADHA GAYATRI AGEPATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
20925 PROFESSIONAL PLZ, SUITE 310, ASHBURN, VA 20147-3403
(571) 442-8182
(571) 918-9168
Mailing address
20925 PROFESSIONAL PLZ, SUITE 310, ASHBURN, VA 20147-3403
(571) 442-8182
(571) 918-9168

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101254626
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/20/2008
Last updated
03/10/2016
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