Individual
DR. VENKATESWER R ADDANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3930 WALNUT ST, SUITE 101, FAIRFAX, VA 22030-4738
(703) 539-5914
Mailing address
PO BOX 710012, HERNDON, VA 20171-0012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101246084
VA
Other
Enumeration date
10/15/2008
Last updated
09/26/2013
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