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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEX P. PAVIDAPHA, M.D

Active

ALEX P. PAVIDAPHA, M.D is a Therapeutic Radiology healthcare provider located in RESTON, Virginia. NPI 1053799585 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · RESTON, VA

Registration Details

NPI Number
1053799585
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2015 (11.283403066932 yrs)
Last Updated
Jun 3, 2024
Licenses
0101273549 (VA)
287471 (MA)
287471 (MA)
0101273549 (VA)

Practice Information

Address
1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA, 201915481
Browse VA providers · Browse ZIP 20191
Phone
7037835355
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Therapeutic Radiology
Additional Specialty
Therapeutic Radiology

Other Therapeutic Radiology Providers in RESTON, VA

Name Credential NPI
DR. RACHEL LYNN PIECHOWIAK D.O. 1679867212
FARAZ ALI KHAN MD 1770087850
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.