Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SRIVIDYA THOTAKURA, PAC
Active Sole ProprietorSRIVIDYA THOTAKURA, PAC is a Physician Assistant healthcare provider located in HERNDON, Virginia. NPI 1407220353 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HERNDON, VA
Registration Details
- NPI Number
- 1407220353
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2015 (10.72968534191 yrs)
- Last Updated
- Nov 16, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
13158 RUBY LACE CTHERNDON, VA, 201712337Browse VA providers · Browse ZIP 20171
- Phone
- 6122004585
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HERNDON, VA
| Name | Credential | NPI |
|---|---|---|
| THOMAS JOHN SCHYMANSKI | PA-C | 1003807405 |
| LARA ELIZABETH JOHNSON | PA-C | 1386668572 |
| JASON LEO MASLOW | PA | 1285797100 |
| GACHARD JEAN PIERRE | PA-C | 1770779399 |
| JENNIFER BLANDING | PA-C | 1497992366 |
| FELLA EZZEKMI-AKSOUH | PAC | 1912202664 |
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.