Organization
NOVA MEDICAL SERVICES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEERAJA THATHAGARI M.D (OWNER)
(703) 961-1119
Entity
Organization
Contact information
Practice address
4229 LAFAYETTE CENTER DR, SUITE 1425, CHANTILLY, VA 20151-1261
(703) 961-1119
(703) 961-1159
Mailing address
PO BOX 734, CENTREVILLE, VA 20122-0734
(703) 961-1119
(703) 961-1159
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101237990
VA
Other
Enumeration date
03/28/2007
Last updated
11/03/2007
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