Individual
NAG RAJ BIRUDAVOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7762
(540) 498-4901
Mailing address
3033 WILSON BLVD # E-565, ARLINGTON, VA 22201-3866
(413) 426-3718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101-034-785
VA
207P00000X
Emergency Medicine Physician
0107-4694A
IN
207P00000X
Emergency Medicine Physician
11997
WV
207P00000X
Emergency Medicine Physician
35-048539
OH
207P00000X
Emergency Medicine Physician
49484
MA
207P00000X
Emergency Medicine Physician
Primary
58601
KY
207P00000X
Emergency Medicine Physician
D00-75072
MD
207P00000X
Emergency Medicine Physician
R5365
TX
Other
Enumeration date
05/28/2006
Last updated
11/22/2023
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