Individual
DR. PADMAJA NOOTHETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5169
(301) 702-5121
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6W ATTN THERESA BROOKS, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101052941
VA
207W00000X
Ophthalmology Physician
Primary
D60507
MD
207W00000X
Ophthalmology Physician
MD034632
DC
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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