Organization
NOVA INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKSHMI BHAGAVATHULA MD (PRESIDENT)
(703) 560-1733
Entity
Organization
Contact information
Practice address
611 S CARLIN SPRINGS RD, ARLINGTON, VA 22204-1064
(703) 560-1733
(703) 426-2428
Mailing address
9582 BRONTE DR, BURKE, VA 22015-1758
(703) 560-1733
(703) 426-2428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101233031
VA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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