Organization
VIRGINIA INTERNAL MEDICINE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANDANA PALAGIRI M.D. (OWNER)
(703) 868-3011
Entity
Organization
Contact information
Practice address
44790 MAYNARD SQ STE 320, ASHBURN, VA 20147-6514
(571) 206-8696
(866) 383-4386
Mailing address
44790 MAYNARD SQ STE 320, ASHBURN, VA 20147-6514
(571) 206-8696
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
0101250130
VA
310400000X
Assisted Living Facility
0101250130
VA
314000000X
Skilled Nursing Facility
Primary
0101250130
VA
Other
Enumeration date
05/11/2017
Last updated
08/31/2017
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