Individual
PROF. KAVITHA BAGADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101281264
VA
207R00000X
Internal Medicine Physician
4301090291
MI
207R00000X
Internal Medicine Physician
8445A
WY
207R00000X
Internal Medicine Physician
P5330
TX
208M00000X
Hospitalist Physician
0101281264
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344507ZV0W
TX MEDICARE
TX
Enumeration date
10/15/2007
Last updated
01/14/2025
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