Individual
PALLAVI LAXMI SAMUDRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ALEXANDER T. AUGUSTA MILITARY MEDICAL CENTER, 9300 DEWITT LOOP, FORT BELVOIR, VA 22060
(571) 231-1803
Mailing address
751 THORNTON WAY APT 310, ALEXANDRIA, VA 22314-4428
(703) 673-8980
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
208D00000X
General Practice Physician
Primary
0101287481
VA
Other
Enumeration date
03/12/2024
Last updated
01/13/2026
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