Individual
SHWETHA THUKUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2740 PROSPERITY AVE STE 200, FAIRFAX, VA 22031
(877) 511-4625
(703) 204-9006
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101267551
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101267551
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
P2383
TX
Other
Enumeration date
07/02/2008
Last updated
07/15/2021
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