Individual
DR. JYOTHI GADDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., P.A.
Contact information
Practice address
493 BLACKWELL RD, 305, WARRENTON, VA 20186-2639
(540) 428-1715
(540) 428-1716
Mailing address
493 BLACKWELL RD, 305, WARRENTON, VA 20186-2639
(540) 428-1715
(540) 428-1716
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101056351
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007603436
—
VA
Enumeration date
07/18/2006
Last updated
05/09/2008
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