Organization
SUNEETHA SHASHIDHAR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNEETHA ANNAVARAPU (MD)
(703) 349-3796
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
2550 CHAIN BRIDGE RD APT T2, VIENNA, VA 22181-5553
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0101246318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639328438
NPI
—
Enumeration date
10/28/2009
Last updated
11/30/2009
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